Am J Gastroenterol. Jun;95(6) Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Janssen M(1), Baggen MG, Veen. Dysphagia lusoria is an impairment of swallowing due to compression from an aberrant right subclavian artery (arteria lusoria). Clinical presentation Most. Dysphagia is a relatively common and increasingly prevalent clinical problem, with prevalence of nearly 22% in the adult primary care population and of % .

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Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy.

At last, for patients with severe symptoms, which not benefit from medical strategies, surgical repair and lhsoria of the aberrant vessel should be considered [ 2 kusoria, 9 ]. CT angiography and MRI thorax are the best diagnostic modalities that could identify the arteria lusoria.

Computed tomography and angiography confirmed the diagnosis and excluded aneurysms. Loading Stack – 0 images remaining. Postoperatively two patients became symptom-free, the other patient still has intermittent dysphagia.

Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery

An account of a singular case of obstructed deglutition. Endoscopy revealed a pulsating impression in the esophagus of three patients. Drug treatment was sufficient in three patients mean follow-up, 6. Pathology of the heart. Congenital aortic vascular ring. Case Report Open Access. Luoria Vasc Surg ;5: Treatment by arterial division and reestablishment of vascular continuity. The aberrant right subclavian artery arises from the aorta distal to the origin of the left subclavian artery arrow.

This phenomenon, first described by Contorni in7 was named subclavian steal by Reivich and colleagues in Case 7 Case 7. He subsequently underwent oral contrast swallow study, which showed smooth extrinsic indentation along posterior esophageal wall at the level of the aortic arch Figure 1. A modified extrathoracic approach to the treatment of dysphagia lusoria.


Guidelines Upcoming Special Issues. Dysphagia; Arteria lusoria; Aberrant right subclavian artery; Dysphagia lusoria; Esophagus compression.

This vessel arises as the last great vessel of the aortic arch, from the dorsal margin of the aorta, and steers towards the right arm, crossing the middle line of the body and usually passing behind the esophagus.

Extrinsic compression of the esophagus may lead to dysphagia. An Account of a Singular Case of Deglutition.

B Abnormal embryologic development of the aortic arch: Barium study of the esophagus may show the indentation on the posterior esophageal wall by the artery. Approximately a month later, the patient was taken to the operating room for resection and reconstructive bypass surgery. Freed K, Low VH.

July 16, ; Accepted date: Re-establishment of the continuity of the anomalous right subclavian artery after operation for dysphagia lusoria. Case Report A year-old, otherwise-healthy woman with a 6-year history of progressive dysphagia was referred dyphagia Waterbury Hospital. Edit article Share article View revision history. Am J Radiol ; Case 4 Ludoria 4. The aberrant subclavian artery. In patients with coexisting esophageal abnormalities the finding may be incidental and specific conservative treatment may be sufficient.

Dysphagia Lusoria Caused by an Aberrant Right Subclavian Artery

Select your language of interest to view the total content in your interested language. Images in clinical medicine. Dysphagia lusoria The right subclavian artery is involved in this condition Dysphagia lusoria or Bayford-Autenrieth dysphagia is an abnormal condition characterized by difficulty in swallowing caused by an aberrant right subclavian artery.


This artery arises from the aortic arch distal of the left subclavian artery, crossing the midline behind the esophagus. Some present with mild dysphagia, while a small minority have a severe enough disturbance lusorria swallowing that leads to inability to swallow and severe nutritional problems.

The initial presenting symptom was discontinuous dysphagia to solids, which worsened and became more progressive in nature.

During development of aortic archif the proximal portion of the right fourth arch disappears instead of distal portion, the right subclavian artery will arise as the last branch of aortic arch.

When the symptoms are intractable, surgical correction should be considered even if coexisting esophageal abnormalities are present.

Dysphagia lusoria | Radiology Reference Article |

Author information Copyright and License information Disclaimer. However, it is generally asymptomatic. Discussion The most common embryologic abnormality of the aortic arch is an aberrant right subclavian artery, which occurs in 0. According to the current literature this could be related to many possible co-existing conditions: After rotation of the dorsal aorta, the right 7th intersegmental artery becomes the aberrant right subclavian artery.

Publication ethics have been observed. Meanwhile, esophageal manometry frequently reveals nonspecific findings and is unhelpful for the luskria [ 2679 ].