Document Detail


Dysphagia lusoria: a case of an aberrant right subclavian artery and a bicarotid trunk.
MedLine Citation:
PMID:  22084776     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Dysphagia Lusoria is dysphagia secondary to an aberrant right subclavian artery that has a retroesophageal course. Adachi and Williams categorized aortic arch anomalies, showing that the right subclavian artery arising in this fashion (as the final branch of the descending aortic arch) is one of the more common. However, this very rarely coexists with a bicarotid trunk. We present such a case as it is manifested in a 36-year-old lady complaining of marked weight loss and dysphagia. The diagnosis remained elusive until a CT scan of the chest was performed; angiography further delineated the pathology. It is believed that the combination of the common carotid origins with the retroesophageal course of the aberrant vessel more frequently accounts for symptoms in the absence of an aneurysm of the origin of the aberrant vessel. Several techniques to manage the aberrant vessel have been described in the literature, but we favoured open ligation and transposition to the right carotid artery.
Authors:
A D Rogers; M Nel; E P Eloff; N G Naidoo
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Publication Detail:
Type:  Journal Article     Date:  2011-04-04
Journal Detail:
Title:  ISRN surgery     Volume:  2011     ISSN:  2090-5793     ISO Abbreviation:  ISRN Surg     Publication Date:  2011  
Date Detail:
Created Date:  2011-11-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101566866     Medline TA:  ISRN Surg     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  819295     Citation Subset:  -    
Affiliation:
Vascular Surgery Unit, Division of General Surgery, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
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