scholarly journals Dysphagia Lusoria

2020 ◽  
Vol 120 (12) ◽  
pp. 941
Author(s):  
Karl Andersen ◽  
Ryan Hoff ◽  
Dean Silas
Keyword(s):  
Author(s):  
Jennifer Wellington ◽  
Joseph Kim ◽  
Donald O. Castell ◽  
Guofeng Xie

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Keon Young Park ◽  
Kevin C. Janek ◽  
Joshua L. Hermsen ◽  
Petros V. Anagnostopoulos ◽  
Hau D. Le

Abstract Introduction Congenital single lung (CSL) is a rare condition, and symptomatic patients often present with respiratory distress or recurrent respiratory infection due to mediastinal shift causing vascular or airway compression. Aberrant right subclavian artery (ARSA) is another rare congenital anomality that can lead to tracheal or esophageal compressions. There is only one other case of concurrent presentation of CSL and ARSA reported, which presented unique challenge in surgical management of our patient. Here we present a step-wise, multidisciplinary approach to manage symptomatic CSL and ARSA. Case presentation An infant girl with a prenatal diagnosis of CSL developed worsening stridor and several episodes of respiratory illnesses at 11 months old. Cross-sectional imaging and bronchoscopic evaluation showed moderate to severe distal tracheomalacia with anterior and posterior tracheal compression resulting from severe mediastinal rotation secondary to right-sided CSL. It was determined that her tracheal compression was mainly caused by her aortic arch wrapping around the trachea, with possible additional posterior compression of the esophagus by the ARSA. She first underwent intrathoracic tissue expander placement, which resulted in immediate improvement of tracheal compression. Two days later, she developed symptoms of dysphagia lusoria due to increased posterior compression of her esophagus by the ARSA. She underwent transposition of ARSA to the right common carotid with immediate resolution of dysphagia lusoria. As the patient grew, additional saline was added to the tissue expander due to recurrence in compressive symptoms. Conclusions Concurrent presentation of CSL and ARSA is extremely rare. Asymptomatic CSL and ARSA do not require surgical interventions. However, if symptomatic, it is crucial to involve a multidisciplinary team for surgical planning and to take a step-wise approach as we were able to recognize and address both tracheomalacia and dysphagia lusoria in our patient promptly.


2008 ◽  
Vol 24 (1) ◽  
pp. 32-34
Author(s):  
Uday Eknathrao Jadhav ◽  
Raghavendra Chikkatur ◽  
Nageshwar Rao ◽  
Manish Puranik ◽  
Jyoti Magar ◽  
...  

2012 ◽  
Vol 114 (8) ◽  
pp. 1193-1196
Author(s):  
Shivam Om Mittal ◽  
Bahman Jabbari ◽  
Duarte G. Machado

1944 ◽  
Vol 154 (3-4) ◽  
pp. 313-320 ◽  
Author(s):  
W. Schneider
Keyword(s):  

2014 ◽  
Vol 38 (3) ◽  
pp. e45-e49 ◽  
Author(s):  
Houda Jalal ◽  
Redouane El Idrissi ◽  
Amine Azghari ◽  
Laaziza Ouazzani ◽  
Nadia Benzzoubeir ◽  
...  
Keyword(s):  

2013 ◽  
Vol 19 (15) ◽  
pp. 2433 ◽  
Author(s):  
Alice Louise Bennett
Keyword(s):  

2020 ◽  
Vol 25 (8) ◽  
pp. 664-666
Author(s):  
B. Geier ◽  
H. Freis ◽  
A. Brach ◽  
M. Michels ◽  
J. O. Düsterwald ◽  
...  
Keyword(s):  

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Kishore Kumar ◽  
Jasbir Makker ◽  
Hassan Tariq ◽  
Ariyo Ihimoyan ◽  
Chime Chukwunonso ◽  
...  

Dysphagia is an expressive symptom, described by an individual as “difficulty in swallowing.” Dysphagia due to esophageal compression from an aberrant right subclavian artery is rare, and it is termed as “dysphagia lusoria.” We present a rare case of co-occurrence of dysphagia lusoria with esophageal eosinophilia in a patient with cognitive disability which portends a case with diagnostic challenge and treatment dilemma. A 31-year-old man with intellectual disability, cerebral palsy, previous history of feeding difficulty, and esophageal food impaction presented with esophageal foreign body impaction. He has no known history of atopy and food allergies. There was no laboratory evidence of peripheral eosinophilia. The IgE-mediated allergic test was unremarkable. His prior presentation revealed a diagnosis of eosinophilic esophagitis. The imaging studies showed proximal esophageal dilatation with extrinsic compression at the level of the upper esophagus. The foreign bodies were removed successfully through the help of upper endoscopy. Subsequent evaluation revealed a rare type of dysphagia lusoria (type N-1) due to an aberrant left subclavian artery arising from the right-sided aortic arch. The patient’s family refused further management of artery lusoria. Prolonged stasis of secretions and food in the esophagus can also lead to increased esophageal eosinophils. In our case, it remains undetermined whether increased number of esophageal eosinophils resulted from primary eosinophilic esophagitis or due to prolonged food stasis from esophageal compression caused by an aberrant subclavian artery. However, food impaction right above the compression site makes dysphagia lusoria the likely etiology.


Sign in / Sign up

Export Citation Format

Share Document