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. 2011 Apr 9;6(1):12.
doi: 10.1186/1749-7922-6-12.

Aberrant right subclavian artery- suggested mechanism for esophageal foreign body impaction: Case report

Eran Brauner  1 , Moshe Lapidot, Ran Kremer, Lael A Best, Yoram Kluger
Affiliations

Aberrant right subclavian artery- suggested mechanism for esophageal foreign body impaction: Case report

Eran Brauner et al. World J Emerg Surg. .

Abstract

Aberrant right subclavian artery (ARSA) is asymptomatic in most cases. This variant anatomy can cause dysphagia in elderly patients. Impaction of foreign body in the esophagus is rarely the presenting symptom of ARSA. We present an eighty four years old patient who first presented with esophageal foreign body impaction and was diagnosed with an aberrant right subclavian artery compressing the esophagus just below the site of impaction.We assume that the exact place of impaction was not incidental and that a relative narrowing of the esophagus caused by the vascular anomaly is responsible for this specific presentation.

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Figures

Figure 1
Figure 1
Chest X ray; arrow pointing at the foreign body in the mid esophagus.
Figure 2
Figure 2
Tomography of the chest; foreign body (A) situated at the level of the aberrant right subclavian artery (B).
Figure 3
Figure 3
Foreign body revealed at esophagotomy (left side of the picture pointing the feet of the patient).
See this image and copyright information in PMC

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