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Case Reports
. 2023 Mar;14(2):235-238.
doi: 10.1177/21501351221137826. Epub 2022 Nov 15.

Repair of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria via Partial Median Sternotomy

Kevin R An  1 , Mimi X Deng  1 , Lindsay R Freud  2 , Osami Honjo  1
Affiliations
Case Reports

Repair of Aberrant Right Subclavian Artery Causing Dysphagia Lusoria via Partial Median Sternotomy

Kevin R An et al. World J Pediatr Congenit Heart Surg. 2023 Mar.

Abstract

While unusual, aberrant right subclavian artery (ARSCA) can occasionally be a source of significant dysphagia in children. We present a case of a 13-year-old female who reported a three-year history of dysphagia to solid foods and was found to have ARSCA on a barium swallow study and computed tomography scan of the chest. We reimplanted the ARSCA into the right carotid artery in end-to-side fashion using a partial median sternotomy approach. At six months follow-up, her symptoms had completely resolved, and her postoperative echocardiogram showed an unobstructed reimplanted ARSCA. Meeting presentation: AATS 102nd Annual Meeting; May 14, 2022; Boston, MA.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Barium swallow study demonstrating a mid-thoracic esophageal compression.
Figure 2.
Figure 2.
A and B, Computed tomography scan of the chest in axial (left) and sagittal (right) views demonstrating the right subclavian artery emerging from the left aortic arch coursing posteriorly behind the esophagus without a Kommerell diverticulum (left).
Figure 3.
Figure 3.
Operative diagram showing the reimplantation of the aberrant right subclavian artery into the right carotid artery.
See this image and copyright information in PMC

References

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