| A rare cause of dysphagia--aberrant right subclavian artery (ARSA). | |
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MedLine Citation:
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PMID: 19694347 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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V Tzilas; A Koti; G Tsoukalas |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European review for medical and pharmacological sciences Volume: 13 ISSN: 1128-3602 ISO Abbreviation: - Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-08-21 Completed Date: 2009-09-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9717360 Medline TA: Eur Rev Med Pharmacol Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 313-6 Citation Subset: IM |
Affiliation:
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Athens Hospital for Chest Diseases "Sotiria", 4th Pulmonology Department, Athens, Greece. tzilasvasilios@yahoo.gr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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