Dysphagia as an interdisciplinary problem. Difficulties in the diagnostic process of the vascular anomaly: a right-sided aortic arch with aberrant left subclavian artery (case report)

2018 ◽  
Vol 7 (1) ◽  
pp. 35-43
Author(s):  
Barbara Maciejewska ◽  
Karolina Kania ◽  
Piotr Kowal ◽  
Bożena Wiskirska-Woźnica
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Treatment Options ◽  
Vascular Anomaly ◽  
Differential Diagnostics ◽  
Diagnostic Process ◽  
Arteria Lusoria ◽  
Threatening Condition ◽  
Life Threatening

Dysphagia is an underestimated health problem. At the same time, it is a potentially life-threatening condition. Dysphagia in young adults is rare and thus it is rarely discussed in the literature. Vascular anomalies are much less frequent causes of dysphagia than structural pathologies of the digestive system, iatrogenic lesions or neurological causes. This paper presents a case of a 21-year-old woman with escalating dysphagia in the course of a congenital vascular anomaly in the form of a right-sided aortic arch with retroesophageal left subclavian artery (left arteria lusoria) and compression. The paper highlights delayed symptomatology of the congenital defect, reasons behind the long-lasting diagnostic process, and the role of the laryngological – phoniatric examination in order to exclude oral and pharyngeal causes. The differential diagnostics and treatment options are discussed thereinafter.

scholarly journals Right aortic arch with an aberrant left subclavian artery: sonographic features by HDlive Flow imaging

2020 ◽  
Vol 30 (6) ◽  
pp. 892-893
Author(s):  
Toyohide Endo ◽  
Daigo Ochiai ◽  
Mamoru Tanaka
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Vascular Ring ◽  
Vascular Anomaly ◽  
Right Aortic Arch ◽  
Flow Imaging ◽  
Branching Pattern ◽  
Aberrant Left Subclavian Artery ◽  
The Right

AbstractThe right aortic arch is a congenital vascular anomaly, which may form a vascular ring. However, prenatal identification of the branching pattern of brachiocephalic vessels is often limited. In this paper, we clearly demonstrated the branching pattern of brachiocephalic vessels in a case of right aortic arch with an aberrant left subclavian artery using HDlive Flow imaging.

scholarly journals A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Claudia Barone ◽  
Nicolina Stefania Carucci ◽  
Claudio Romano
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Inflammatory Diseases ◽  
Vascular Anomaly ◽  
Aberrant Right Subclavian Artery ◽  
Posterior Portion ◽  
Arteria Lusoria ◽  
Esophageal Dysphagia ◽  
Extrinsic Compression ◽  
Barium Esophagogram

Dysphagia is an impairment of swallowing that may involve any structures from the mouth to the stomach. Esophageal dysphagia presents with the sensation of food sticking, pain with swallowing, substernal pressure, or chronic heartburn. There are many causes of esophageal dysphagia, such as motility disorders and mechanical and inflammatory diseases. Infrequently dysphagia arises from extrinsic compression of the esophagus from any vascular anomaly of the aortic arch. The most common embryologic abnormality of the aortic arch is aberrant right subclavian artery, clinically known asarteria lusoria. This abnormality is usually silent. Here, we report a case of six-year-old child presenting to us with a history of progressive dysphagia without respiratory symptoms. A barium esophagogram showed an increase of the physiological esophageal narrowing at the level of aortic arch, while at esophagogastroduodenoscopy there was an extrinsic pulsatile compression of the posterior portion of the esophagus suggesting an extrinsic compression by an aberrant vessel. Angio-CT (computed tomography) scan confirmed the presence of an aberrant right subclavian artery.

scholarly journals The Right Aortic Arch with Aberrant Left Subclavian Artery as a Cause of Dysphagia Lusoria

2016 ◽  
Vol 36 (1) ◽  
pp. 97-99
Author(s):  
Gonca Koc ◽  
Selim Doganay ◽  
Sureyya Burcu Gorkem ◽  
Mehmet Sait Dogan ◽  
Abdulhakim Coskun
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Vascular Anomaly ◽  
Right Aortic Arch ◽  
Adult Age ◽  
Dysphagia Lusoria ◽  
Aberrant Left Subclavian Artery ◽  
Paediatric Case ◽  
The Right

The right aortic arch with aberrant left subclavian artery is a rare vascular anomaly that usually does not cause any symptoms and is encountered in the adult age group incidentally. We report a paediatric case presented with dysphagia lusoria resulted from right aortic arch with aberrant left subclavian artery with the imaging findings.J Nepal Paediatr Soc 2016;36(1):97-99.

scholarly journals Aberrant Left Subclavian Artery-Esophageal Fistula in a Patient with a Prolonged Use of Nasogastric Tube: A Case Report and Literature Review

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 195
Author(s):  
Sungbin Kim ◽  
Kyung Nyeo Jeon ◽  
Kyungsoo Bae
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Nasogastric Tube ◽  
Left Subclavian Artery ◽  
Vascular Anomaly ◽  
Esophageal Fistula ◽  
Aortic Arch Anomaly ◽  
Aberrant Left Subclavian Artery ◽  
Massive Gastrointestinal Bleeding ◽  
High Index Of Suspicion

Arterial-esophageal fistula is a rare but potentially fatal complication. Right aortic arch with aberrant left subclavian artery is a rare congenital vascular anomaly that can cause esophageal compression, particularly when the proximal portion of the aberrant subclavian artery forms a Kommerell’s diverticulum. Prolonged use of a nasogastric tube can cause pressure necrosis of the esophagus. We report a patient with massive gastrointestinal bleeding secondary to aberrant left subclavian artery-esophageal fistula after a prolonged use of nasogastric tube. A high index of suspicion is essential for better prognosis when a patient with congenital aortic arch anomaly shows upper gastrointestinal hemorrhage.

scholarly journals First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair

2020 ◽  
Vol 90 (4) ◽  
Author(s):  
Giacomo Sica ◽  
Giovanni Dialetto ◽  
Giorgio Bocchini ◽  
Giulia Lassandro ◽  
Gaetano Rea ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Imaging Modality ◽  
Artery Aneurysm ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair ◽  
Threatening Condition ◽  
Life Threatening ◽  
Line Imaging

Spontaneous ruptured aneurysm involving an aberrant subclavian artery with a right-sided aortic arch and Kommerell’s diverticulumis a rare life-threatening condition that can be treated successfully if promptly identified. Multidetector Computed Tomography angiography is the first line imaging modality of thoracic vascular anomalies diagnosis. We report the case of a 74-year-old man suffering from this emergency ondition with mediastinal hematoma mostly extending to the left-side extrapleural cavity. The patient underwent successful emergency thoracic endovascular aortic repair and an Amplatzer vascular plug was placed into the first segment of the ALSA. Post-procedural imaging showed complete exclusion of the aneurysm. Emergency endovascular repair can be effective in such cases.

Isolation of the left subclavian artery: a rare aortic arch anomaly

2014 ◽  
Vol 25 (6) ◽  
pp. 1203-1205
Author(s):  
Mahesh K. Saktheeswaran ◽  
Kavaserry Mahadevan Krishnamoorthy ◽  
Sivasubramonian Sivasankaran
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Septal Defect ◽  
Left Subclavian Artery ◽  
Ductus Arteriosus ◽  
Vascular Ring ◽  
Treatment Options ◽  
Device Closure ◽  
Aortic Arch Anomaly ◽  
Run Off

AbstractIsolation of the left subclavian artery is a rare anomaly associated with acyanotic CHDs and right aortic arch. This condition can be asymptomatic or can present with neurological and left upper-limb ischaemic symptoms; it does not form a vascular ring. Treatment options include implantation of the subclavian artery to the aortic arch vessels and closure of the patent ductus arteriosus to prevent pulmonary run off. Here we describe a child who was incidentally detected to have this condition during evaluation of atrial septal defect for device closure.

scholarly journals Midthoracic Pain, Sentinel Arterial Haemorrhage and Exsanguination after a Symptom-Free Interval (Chiari's Triad) is Diagnostic of Arterio-Oesophageal Fistula: A Life-Threatening Cause of Gastrointestinal Bleeding

2021 ◽  
Author(s):  
Andra Glodean ◽  
Rainer Grobholz ◽  
Karim El-Hag ◽  
Mairi Ziaka ◽  
Jean-Paul Schmid
Keyword(s):  
Gastrointestinal Bleeding ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Oesophageal Adenocarcinoma ◽  
Aberrant Right Subclavian Artery ◽  
Free Interval ◽  
Threatening Condition ◽  
Life Threatening ◽  
Oesophageal Tumour ◽  
Arterial Haemorrhage

Introduction: Arterio-oesophageal fistulae are a very uncommon cause of severe gastrointestinal bleeding, and mostly result from an aberrant right subclavian artery and mediastinal surgery or prolonged endotracheal/nasogastric intubation. Material and Methods: We present the case of a patient with an oesophageal adenocarcinoma and haematemesis due to a subclavian arterio-oesophageal fistula after mediastinal radiotherapy.  Conclusion: We discuss the rare, life-threatening condition of acute erosion of the left subclavian artery caused by an oesophageal tumour and presenting with Chiari's triad.

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