Aberrant right retroesophageal subclavian artery causing esophageal compression

• Published in: Clinical case reports Vol. 3; no. 10; pp. 897 - 898
• Main Authors: Reynolds, Ian, McGarry, James, Mullett, Hannan
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.10.2015; John Wiley & Sons, Ltd
• Subjects: Aortic arch anomaly; Case reports; Clinical Images; diverticulum of Kommerell; Dysphagia; dysphagia lusoria; Esophagus; Ostomy; retroesophageal subclavian artery; Thorax; Aortic arch anomaly; dysphagia; diverticulum of Kommerell; dysphagia lusoria; retroesophageal subclavian artery
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.351

Key Clinical Message Dysphagia lusoria is present in 0.2–2.5% of the population representing the most common anomaly of the aortic arch (De Araújo et al., 2015, Int. J. Surg. Case Rep., 7, 32). It usually presents in infants, but can present at any age. Symptoms include cough, dysphagia, thoracic pain, and pulmonary infection. Barium contrast studies, CT, and MR angiography are useful studies for evaluating the condition. Dietary modification and PPI therapy are the first‐line treatments with surgical intervention reserved for those with ongoing symptoms (Janssen et al., 2000, Am. J. Gastroenterol., 95, 1411). Dysphagia lusoria is present in 0.2–2.5% of the population representing the most common anomaly of the aortic arch (De Araújo et al., 2015, Int. J. Surg. Case Rep., 7, 32). It is usually present in infants, but can be present at any age. Symptoms include cough, dysphagia, thoracic pain, and pulmonary infection. Barium contrast studies, CT, and MR angiography are useful studies for evaluating the condition. Dietary modification and PPI therapy are the first‐line treatments with surgical intervention reserved for those with ongoing symptoms (Janssen et al., 2000, Am. J. Gastroenterol., 95, 1411).