Am J Gastroenterol. Jun;95(6) Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Janssen M(1), Baggen MG, Veen. Dysphagia lusoria is an impairment of swallowing due to compression from an aberrant right subclavian artery (arteria lusoria). Clinical presentation Most. Dysphagia is a relatively common and increasingly prevalent clinical problem, with prevalence of nearly 22% in the adult primary care population and of % .

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In our opinion, the supraclavicular approach provides good exposure, rapid recovery, and avoids the morbidity associated with the classically described median sternotomy or thoracotomy.

After rotation of the dorsal aorta, the right 7th intersegmental artery becomes the aberrant right subclavian artery. The initial presenting symptom was discontinuous dysphagia to solids, which luworia and became more progressive in nature.

Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery

Surgical treatment of aortic aneurysms. Case 2 Case 2. In children, the most common presentations are stridor and recurrent chest infections, may be due to their tracheal softening comparing to adult population.

In the case we presented, at fluoroscopy there was a quite suspicious narrowing on the posteriorleft side of the esophagus that was confirmed at CT scan, which was necessary to exclude the presence of malignant causes of ab-extrinsic compression.


J Hepatol Dysphagua Dis 2: In fact, they show the vascular lesion and the relationship of the various mediastinal vessels and structures without the need of conventional catheter angiography [ 13 ]. Postoperatively, the patient tolerated a regular diet without symptoms of dysphagia.

Please review our privacy policy. Meanwhile, esophageal manometry frequently reveals nonspecific findings and is unhelpful for the diagnosis [ 2 dyysphagia, 679 ].

July 16, ; Accepted date: Sometimes dysphagia first appears above the lusria of 40 yr. As hypothesized by Edwards, this abnormal origin of the right subclavian artery can be explained by the involution of the 4th vascular arch with the right dorsal aorta.

Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy.

Barium study of the esophagus may show the indentation on the posterior esophageal wall by the artery. Reversal of blood flow through the vertebral artery and its effect on cerebral circulation.

The lusorian artery is a rare anomaly of the right subclavian artery. The aberrant subclavian artery.

We describe our use of the right supraclavicular approach, which avoids the possible complications of thoracotomy or sternotomy. Congenital aortic vascular ring. Journal of Hepatology and Gastrointestinal disorders.


D ICD – Manometric investigation of the esophagus revealed nonspecific abnormalities in five patients. Subsequently, an arteriogram confirmed the aberrant origin of the right subclavian artery Fig.

Postoperatively two patients became symptom-free, the other patient still has intermittent dysphagia. An atlas of vascular rings and related malformations of the aortic arch system.

Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery

The main ARSA morphologic types are colored in red. Manometry cannot be used to diagnose this condition or to predict surgical outcome.

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Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy.

CarrizoMD and Massoud A. Among more invasive diagnostic procedure, upper endoscopy usually shows no significant signs and it is performed to exclude malignant lesion in case of persistent dysphagia.

Computed tomography and angiography confirmed the diagnosis and excluded aneurysms. Journal of Surgical Technique and Case Report.