Document Detail


Dysphagia lusoria: a case study.
MedLine Citation:
PMID:  11251935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dysphagia lusoria is described in the literature as difficulty swallowing because of a "jest of nature." The "jest of nature" is a birth defect encompassing any aortic root vascular anomaly that causes esophageal dysphagia. Persons with dysphagia lusoria can be categorized according to their specific subclavian anomaly (ie, depending on the presence of an aneurysm, occlusive disease, or esophageal compression). All patients with this anomaly have an aberrant subclavian artery in a transposed position that courses posterior to the esophagus. The operative approach to repair this condition has been controversial. An extrathoracic approach is documented as superior to a repair involving thoracotomy because there is decreased rate of complications that may be associated with a thoracotomy and greater visibility of the subclavian and carotid artery. This case study describes a 25-year-old woman with dysphagia lusoria related to an aberrant right subclavian artery. The report includes a literature review and describes the perioperative approach and nursing care. The use of the preadmission and same-day admission services are supported as is an extrathoracic surgical approach. At follow-up this patient reported no symptoms of dysphagia and showed no evidence of esophageal compression confirming that persons with symptomatic dysphagia lusoria can be managed with positive long-term results.
Authors:
A Whitley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing     Volume:  19     ISSN:  1062-0303     ISO Abbreviation:  J Vasc Nurs     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-03-19     Completed Date:  2001-12-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9014475     Medline TA:  J Vasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-7; quiz 18-9     Citation Subset:  N    
Affiliation:
London Health Sciences Centre, Division of Vascular Surgery, London, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Critical Pathways*
Deglutition Disorders* / etiology,  nursing,  surgery
Esophageal Stenosis* / etiology,  nursing,  surgery
Female
Humans
Subclavian Artery / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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