scholarly journals Hybrid Treatment of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria by Subclavian to Carotid Transposition and Endovascular Plug

2020 ◽  
Vol 36 (4) ◽  
pp. 258-262
Author(s):  
Monica Leon ◽  
Mauro Garibaldi ◽  
Fausto Virgen ◽  
Claudio Ramírez-Cerda ◽  
Salomon Cohen-Mussali
Keyword(s):  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Hybrid Treatment ◽  
Dysphagia Lusoria

scholarly journals Case report: a step-wise management of concurrent presentation of congenital single lung and aberrant right subclavian artery in an infant girl

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Keon Young Park ◽  
Kevin C. Janek ◽  
Joshua L. Hermsen ◽  
Petros V. Anagnostopoulos ◽  
Hau D. Le
Keyword(s):  
Subclavian Artery ◽  
Tissue Expander ◽  
Rare Condition ◽  
Aberrant Right Subclavian Artery ◽  
Cross Sectional ◽  
Unique Challenge ◽  
Surgical Interventions ◽  
Tracheal Compression ◽  
Dysphagia Lusoria ◽  
Infant Girl

Abstract Introduction Congenital single lung (CSL) is a rare condition, and symptomatic patients often present with respiratory distress or recurrent respiratory infection due to mediastinal shift causing vascular or airway compression. Aberrant right subclavian artery (ARSA) is another rare congenital anomality that can lead to tracheal or esophageal compressions. There is only one other case of concurrent presentation of CSL and ARSA reported, which presented unique challenge in surgical management of our patient. Here we present a step-wise, multidisciplinary approach to manage symptomatic CSL and ARSA. Case presentation An infant girl with a prenatal diagnosis of CSL developed worsening stridor and several episodes of respiratory illnesses at 11 months old. Cross-sectional imaging and bronchoscopic evaluation showed moderate to severe distal tracheomalacia with anterior and posterior tracheal compression resulting from severe mediastinal rotation secondary to right-sided CSL. It was determined that her tracheal compression was mainly caused by her aortic arch wrapping around the trachea, with possible additional posterior compression of the esophagus by the ARSA. She first underwent intrathoracic tissue expander placement, which resulted in immediate improvement of tracheal compression. Two days later, she developed symptoms of dysphagia lusoria due to increased posterior compression of her esophagus by the ARSA. She underwent transposition of ARSA to the right common carotid with immediate resolution of dysphagia lusoria. As the patient grew, additional saline was added to the tissue expander due to recurrence in compressive symptoms. Conclusions Concurrent presentation of CSL and ARSA is extremely rare. Asymptomatic CSL and ARSA do not require surgical interventions. However, if symptomatic, it is crucial to involve a multidisciplinary team for surgical planning and to take a step-wise approach as we were able to recognize and address both tracheomalacia and dysphagia lusoria in our patient promptly.

scholarly journals Co-Occurrence of Rarest Type of Dysphagia Lusoria (Type N-1) and Eosinophilic Esophagitis in a Cognitively Disabled Individual

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Kishore Kumar ◽  
Jasbir Makker ◽  
Hassan Tariq ◽  
Ariyo Ihimoyan ◽  
Chime Chukwunonso ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Eosinophilic Esophagitis ◽  
Previous History ◽  
Food Allergies ◽  
Aberrant Right Subclavian Artery ◽  
Food Impaction ◽  
Diagnostic Challenge ◽  
Dysphagia Lusoria ◽  
Extrinsic Compression ◽  
History Of

Dysphagia is an expressive symptom, described by an individual as “difficulty in swallowing.” Dysphagia due to esophageal compression from an aberrant right subclavian artery is rare, and it is termed as “dysphagia lusoria.” We present a rare case of co-occurrence of dysphagia lusoria with esophageal eosinophilia in a patient with cognitive disability which portends a case with diagnostic challenge and treatment dilemma. A 31-year-old man with intellectual disability, cerebral palsy, previous history of feeding difficulty, and esophageal food impaction presented with esophageal foreign body impaction. He has no known history of atopy and food allergies. There was no laboratory evidence of peripheral eosinophilia. The IgE-mediated allergic test was unremarkable. His prior presentation revealed a diagnosis of eosinophilic esophagitis. The imaging studies showed proximal esophageal dilatation with extrinsic compression at the level of the upper esophagus. The foreign bodies were removed successfully through the help of upper endoscopy. Subsequent evaluation revealed a rare type of dysphagia lusoria (type N-1) due to an aberrant left subclavian artery arising from the right-sided aortic arch. The patient’s family refused further management of artery lusoria. Prolonged stasis of secretions and food in the esophagus can also lead to increased esophageal eosinophils. In our case, it remains undetermined whether increased number of esophageal eosinophils resulted from primary eosinophilic esophagitis or due to prolonged food stasis from esophageal compression caused by an aberrant subclavian artery. However, food impaction right above the compression site makes dysphagia lusoria the likely etiology.

Hybrid Endovascular Treatment of Dysphagia Lusoria: Report of 2 Cases

2020 ◽  
Vol 54 (8) ◽  
pp. 747-751
Author(s):  
Abindra Sigdel ◽  
Erik J. Wayne ◽  
Amit J. Dwivedi
Keyword(s):  
Endovascular Treatment ◽  
Subclavian Artery ◽  
Symptom Relief ◽  
Aberrant Right Subclavian Artery ◽  
Endovascular Technique ◽  
Related Complication ◽  
Dysphagia Lusoria

Dysphagia Lusoria is a condition when aberrant right subclavian artery (ARSA) causes esophageal compression. We report 2 cases of Dysphagia Lusoria treated by hybrid endovascular technique which included subclavian to carotid transposition and embolization of origin of ARSA. By using this technique, we avoided the need for thoracotomy. Both patients had complete symptom relief without any surgery related complication.

scholarly journals Dysphagia Lusoria: Aberrant Right Subclavian Artery Transposition to Carotid Artery

2015 ◽  
Vol 62 (3) ◽  
pp. 834
Author(s):  
Raghu L. Motaganahalli ◽  
Victor Njoku ◽  
Alok Gupta ◽  
Anjan Talukdar ◽  
Adam Gracon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Dysphagia Lusoria

Endoscopy and the Aberrant Right Subclavian Artery

2007 ◽  
Vol 73 (12) ◽  
pp. 1259-1261 ◽  
Author(s):  
Michael D. Kelly
Keyword(s):  
Ct Scan ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Diagnostic Endoscopy ◽  
Dysphagia Lusoria

The aberrant right subclavian artery is present in 0.4 per cent of the population. It is usually asymptomatic and only rarely causes symptomatic esophageal compression, a condition known as dysphagia lusoria. It was diagnosed in one of 920 patients undergoing diagnostic endoscopy (223 for dysphagia) and characterized by CT scan. It is important for clinicians to be aware of this condition and that the artery may be visible at endoscopy.

Simultaneous Hybrid Treatment of Aneurysmal Aberrant Right Subclavian Artery

2014 ◽  
Vol 30 (1) ◽  
pp. 80-84 ◽  
Author(s):  
Nicola Troisi ◽  
Emiliano Chisci ◽  
Leonardo Ercolini ◽  
Clara Pigozzi ◽  
Stefano Michelagnoli
Keyword(s):  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery ◽  
Hybrid Treatment

scholarly journals Hybrid Treatment of an Aortic Arch Aneurysm with an Aberrant Right Subclavian Artery

2014 ◽  
Vol 87 (2) ◽  
pp. 193
Author(s):  
Jong Hyun Choi ◽  
Hye Yoon Jang ◽  
Moo Song Jeon ◽  
Hye-Won Lee ◽  
Jin Sup Park ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Aortic Arch Aneurysm ◽  
Aberrant Right Subclavian Artery ◽  
Hybrid Treatment ◽  
Arch Aneurysm

scholarly journals Dysphagia Lusoria: A Case Report

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Nik Qisti F ◽  
Shahrun Niza AS ◽  
Razrim R
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Aortic Arch ◽  
Clinical Features ◽  
Subclavian Artery ◽  
Vertebral Column ◽  
Aberrant Right Subclavian Artery ◽  
Dorsal Part ◽  
Dysphagia Lusoria ◽  
The Right

Aberrant right subclavian artery is a rare cause of dysphagia. This is a congenital anomaly with the right subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum between the esophagus and the vertebral column. We report a case of a patient with chronic dysphagia caused by this condition. We further discuss the case with regards to its clinical features and options of management.

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