Dysphagia caused by an aberrant right subclavian artery

An aberrant right subclavian artery is the commonest aortic arch anomaly. Majority of them were asymptomatic. An aberrant subclavian artery is a rare cause of dysphagia in adults. This condition is also known as dysphagia lusoria. We report a case of dysphagia in a 49-year-old woman from an aberrant right subclavian artery. Diagnosis of her condition was made with barium swallow and MDCT (multidetector computed tomography) scan. She was managed conservatively.

Download Full-text

Incidental finding of aberrant subclavian artery during computed tomography scan

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v3i4.13376 ◽

2015 ◽

Vol 3 (4) ◽

pp. 162-164

Author(s):

Mubarak Mohd Yusof ◽

Sharini Shamsudin

Keyword(s):

Computed Tomography ◽

Weight Loss ◽

Aortic Arch ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Incidental Finding ◽

Right Aortic Arch ◽

Aberrant Right Subclavian Artery ◽

Computed Tomography Scan ◽

Tomography Scan

Two cases of aberrant subclavian arteries were detected incidentally during computed tomography scan of the thorax for other medical conditions. The patients did not have weight loss or dysphagia lusoria. The origin and course of theaberrant subclavian arteries are related to the anomaly of the aortic arch. The variations of aberrant right subclavian artery with left aortic arch and aberrant left subclavian artery with right aortic arch on computed tomography are discussed.Journal of Kathmandu Medical CollegeVol. 3, No. 4, Oct.-Dec., 2014Page: 162-164

Download Full-text

Three-Dimensional Computed Tomography Scan Showing Isolation of the Left Subclavian Artery with Tetralogy of Fallot and Right Aortic Arch

Pediatric Cardiology ◽

10.1007/s00246-008-9321-1 ◽

2008 ◽

Vol 30 (2) ◽

pp. 203-204 ◽

Cited By ~ 1

Author(s):

Sho Takeda ◽

Yasumi Nakajima ◽

Masaaki Koide

Keyword(s):

Computed Tomography ◽

Aortic Arch ◽

Tetralogy Of Fallot ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Three Dimensional ◽

Right Aortic Arch ◽

Computed Tomography Scan ◽

Tomography Scan

Download Full-text

Accuracy of 64-slice multidetector computed tomography scan in detection of the point of transition of small bowel obstruction

Japanese Journal of Radiology ◽

10.1007/s11604-011-0038-3 ◽

2011 ◽

Vol 30 (3) ◽

pp. 235-241 ◽

Cited By ~ 10

Author(s):

Muhammad Idris ◽

Nazia Kashif ◽

Sidra Idris ◽

Wasim Ahmad Memon ◽

Ul-Haq Tanveer ◽

...

Keyword(s):

Computed Tomography ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Multidetector Computed Tomography ◽

Bowel Obstruction ◽

Computed Tomography Scan ◽

Tomography Scan

Download Full-text

Dysphagia Lusoria: A Case Report

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v15i2.393 ◽

2020 ◽

Vol 15 (2) ◽

Author(s):

Nik Qisti F ◽

Shahrun Niza AS ◽

Razrim R

Keyword(s):

Congenital Anomaly ◽

Case Report ◽

Aortic Arch ◽

Clinical Features ◽

Subclavian Artery ◽

Vertebral Column ◽

Aberrant Right Subclavian Artery ◽

Dorsal Part ◽

Dysphagia Lusoria ◽

The Right

Aberrant right subclavian artery is a rare cause of dysphagia. This is a congenital anomaly with the right subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum between the esophagus and the vertebral column. We report a case of a patient with chronic dysphagia caused by this condition. We further discuss the case with regards to its clinical features and options of management.

Download Full-text

Analysis of the Effects of Different Iodine Concentrations on the Characterization of Small Renal Lesions Detected by Multidetector Computed Tomography Scan: A Pilot Study

Journal of the Korean Society of Radiology ◽

10.3348/jksr.2017.76.5.337 ◽

2017 ◽

Vol 76 (5) ◽

pp. 337

Author(s):

Hak Jong Lee ◽

Sang Youn Kim ◽

Jeong Yeon Cho ◽

Sung Il Hwang ◽

Min Hoan Moon ◽

...

Keyword(s):

Computed Tomography ◽

Pilot Study ◽

Multidetector Computed Tomography ◽

Computed Tomography Scan ◽

Renal Lesions ◽

Tomography Scan

Download Full-text

Imaging spectrum and prevalence of variant branching pattern of aortic arch

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20191345 ◽

2019 ◽

Vol 7 (4) ◽

pp. 1313

Author(s):

Vipin Krishnan K. V. ◽

Varun Narayan ◽

Niyaz Ibrahim ◽

John Mathew ◽

Sheen Maria James

Keyword(s):

Computed Tomography ◽

Aortic Arch ◽

Subclavian Artery ◽

Aberrant Right Subclavian Artery ◽

Left Vertebral Artery ◽

Branching Pattern ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography ◽

Variant Anatomy

Background: Variant branching patterns of the aortic arch are not infrequent but are commonly under reported. This study was conducted to determine the spectrum of Variant branching pattern of aortic arch and their prevalence using contrast enhanced computed tomography (CECT) images of the cases from a tertiary care centre.Methods: Contrast enhanced computed tomography (CECT) images of aortic arch region from 1116(629 male and 487 female) cases from 18 to 85 years of age were examined retrospectively. The images were reviewed for normal and variant anatomy of aortic arch and the results were analyzed statistically.Results: Of 1116 patients, 878 (78.6%) cases showed normal and 238 (21.3%) cases had variant branching pattern of the aortic arch. The most common variation was the common origin of brachiocephalic trunk (BCT) and the left common carotid artery (LCCA) which was observed in 160 (14.3%) cases. In 8 (0.7%) cases, BCT and LCCA took origin from a single common trunk arising from the aortic arch. In 60(5.4%) cases, the left vertebral artery (LVA) originated directly from the aortic arch between the origin of the LCCA and left subclavian artery (SCA). 8 (0.7%) cases had aberrant right subclavian artery. Two (0.2%) cases showed right aortic arch.Conclusions: Interventional radiologists and surgeons should be well aware of variant anatomy of aortic arch. Contrast CT is a highly reliable imaging method for demonstrating anatomical features and variations of the arch.

Download Full-text

Multidetector Computed Tomography Scan in the Evaluation of Emergency Department Chest Pain Patients

Academic Emergency Medicine ◽

10.1197/j.aem.2005.03.236 ◽

2005 ◽

Vol 12 (Supplement 1) ◽

pp. 84-85

Author(s):

D. C. Kuo

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Chest Pain ◽

Multidetector Computed Tomography ◽

Computed Tomography Scan ◽

Pain Patients ◽

Tomography Scan

Download Full-text

Dysphagia Lusoria: A Case of an Aberrant Right Subclavian Artery and a Bicarotid Trunk

ISRN Surgery ◽

10.5402/2011/819295 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 11

Author(s):

A. D. Rogers ◽

M. Nel ◽

E. P. Eloff ◽

N. G. Naidoo

Keyword(s):

Weight Loss ◽

Carotid Artery ◽

Aortic Arch ◽

Subclavian Artery ◽

Aberrant Right Subclavian Artery ◽

Aortic Arch Anomalies ◽

Dysphagia Lusoria ◽

Marked Weight ◽

The Common ◽

The Right

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.

Download Full-text