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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Dotted lines represent normal vessel involution of the right dorsal aorta and the right 6th posterior arch. During development of aortic archif the proximal portion of the right fourth arch disappears instead of distal portion, the right subclavian artery dysphagis arise as the last branch of aortic arch.
The persistence of the proximal right dorsal aorta becomes the innominate artery.
It was discovered by David Bayford dysphqgia and first reported in a paper by the same in This latter is not routinely required and may be useful for exact demonstration of vascular anatomy when a surgery therapy is planned [ 28 ].
Barium study of the esophagus may show the indentation on the posterior esophageal wall by the artery.
Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy.
Her dysphagia had progressed to the point that she could eat only small meals. In our opinion, the supraclavicular approach provides good exposure, rapid recovery, and avoids the morbidity associated with the classically described median sternotomy or thoracotomy. Case 5 Case 5. J Hepatol Gastroint Dis 2: InKommerell described the radiologic findings of this persistent route of the aortic arch as an aortic diverticulum Kommerell’s diverticulum.
Endoscopy revealed a pulsating impression in the esophagus of three patients. It can sometimes result in upper gastrointestinal tract bleeding.
The distal end was anastomosed to lusoriz right common carotid artery. Journal of Surgical Technique and Case Report. CT angiography and MRI thorax are the best diagnostic modalities that could identify the arteria lusoria. Surgical treatment for dysphagia lusoria. 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 ].
Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery
According to the current literature this could be related to many possible co-existing conditions: B Abnormal embryologic development of the aortic arch: A year-old, otherwise-healthy woman with a 6-year history of progressive dysphagia underwent an esophagogram that revealed an oblique extrinsic defect with an inferior-to-superior left-to-right course consistent with an aberrant right subclavian artery.
The main ARSA morphologic types are colored in red. It then courses behind the esophagus or rarely in front of esophagus, or even in front of trachea to supply blood to right arm. Freed K, Low VH.
The vertebro-vertebral collateral circulation in obliteration of the subclavian artery at its origin [in Italian]. N Engl J Med ; Injury to the brachial plexus and dysphayia right recurrent laryngeal nerve was avoided by careful identification of these structures.
Support Center Support Center. This page was last edited on 22 Octoberat Memoirs Med Soc London ; 2: Surgical correction is indicated for dysphagia lusoria in association with an aberrant right subclavian artery.