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Case Reports
. 2022 Aug 31;14(8):e28648.
doi: 10.7759/cureus.28648. eCollection 2022 Aug.

Dysphagia Lusoria: A Rare Cause of Adult Dysphagia

Venkata Jaya Divya Tenneti  1 , Anoop T  1 , Arun Reddy  2
Affiliations
Case Reports

Dysphagia Lusoria: A Rare Cause of Adult Dysphagia

Venkata Jaya Divya Tenneti et al. Cureus. .

Abstract

Dysphagia lusoria is an unusual condition characterized by difficulty swallowing secondary to compression of the esophagus by the aberrant right subclavian artery (ARSA). It occurs due to embryologic anomalies of the brachial arches, which are often unrecognized. Dysphagia is the prime presenting symptom in the majority, in addition to the other tracheoesophageal symptoms. Dysphagia lusoria can be diagnosed using barium swallow and chest computed tomography (CT) scan. We report a case of a young male who presented with complaints of dysphagia.

Keywords: ct chest angiography; dysphagia; surgical management; vascular compression; young adult.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT angiogram of the chest showing aberrant right subclavian artery
Figure 2
Figure 2. Right cervical approach with a vessel loop around the right common carotid artery
Figure 3
Figure 3. PTFE 6 mm graft showing the anastomosis between the right common carotid and the right subclavian artery
PTFE - polytetrafluoroethylene
Figure 4
Figure 4. Closure of the right cervical incision post anastomosis with a drain in situ
Figure 5
Figure 5. Left thoracotomy showing the origin of the aberrant subclavian artery
See this image and copyright information in PMC

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