Document Detail


A rare cause of dysphagia--aberrant right subclavian artery (ARSA).
MedLine Citation:
PMID:  19694347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aberrant Right Subclavian Artery (ARSA) is a rare vascular anomaly. It is though the most frequent anomaly involving the aortic arch, being present in about 1% of the general population. We present a case of a 71 year old male with symptoms of chronic cough and dysphagia. He was referred to our clinic for further evaluation of a mediastinal mass. A second Computed Tomography of the thorax was performed, this time with the use of i.v. contrast. The latter examination confirmed the diagnosis (ARSA), sparing the patient of invasive and potentially life threatening diagnostic procedures (invasive angiography, mediastinoscopy). This case highlights the significant pitfalls regarding the mediastinal evaluation, especially when i.v. contrast is not used. The majority of the mediastinal structures are vessels. Vessels abnormalities should be included in the differential diagnosis of a mediastinal mass.
Authors:
V Tzilas; A Koti; G Tsoukalas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European review for medical and pharmacological sciences     Volume:  13     ISSN:  1128-3602     ISO Abbreviation:  -     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-08-21     Completed Date:  2009-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9717360     Medline TA:  Eur Rev Med Pharmacol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  313-6     Citation Subset:  IM    
Affiliation:
Athens Hospital for Chest Diseases "Sotiria", 4th Pulmonology Department, Athens, Greece. tzilasvasilios@yahoo.gr
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MeSH Terms
Descriptor/Qualifier:
Aged
Aorta, Thoracic / abnormalities,  radiography
Contrast Media / administration & dosage
Cough / diagnosis,  etiology
Deglutition Disorders / diagnosis,  etiology*
Diagnosis, Differential
Humans
Male
Subclavian Artery / abnormalities*,  radiography
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media

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