What is dysphagia lusoria

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Through a cervical approach, the aberrant artery is ligated near its root and connected with the right carotid artery. There are even reports of severing the artery without reconstruction, without significant reports of upper extremity ischemia. In patients who are poor surgical candidates, endoscopic dilation of the esophageal narrowing may temporarily relieve symptoms of dysphagia. However, its utility is primarily palliative in patients who cannot undergo more definitive therapy.

Alternatively, there are various procedures that interventional radiology can perform in an effort to endovascularly ligate the aberrant vessel while maintaining blood flow to the appropriate organs. In summary, dysphagia lusoria caused by an aberrant subclavian artery is a rare cause of dysphagia in adults.

The ideal method of diagnosis includes barium esophagram with confirmatory CT angiography or MR angiography. The ideal management strategy is unclear, but it seems that in patients with mild to moderate symptoms, lifestyle changes and dietary modification, with possible medical therapy, is indicated.

In more severe cases, surgical intervention should be considered. Our case is an example of a patient with vague, atypical symptoms who opted for surgical intervention with mixed results. Cappell M S. Endoscopic, radiographic, and manometric findings associated with cardiovascular dysphagia.

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It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Sign In. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Bayford D. An Account of a Singular Case of Deglutition.

Memoirs Med Soc London ; Levitt B, Richter JE. Dysphagia lusoria: a comprehensive review. Adult-onset dysphagia lusoria secondary to a dissecting aberrant right subclavian artery associated with type B acute aortic dissection. Can J Cardiol. Free text at pubmed - Pubmed citation 5. CT and MR angiography in dysphagia lusoria in adults.

Indian J Radiol Imaging ; Promoted articles advertising. Case 1 Case 1. Case 2 Case 2. Case 3 Case 3. Case 4 Case 4. Case 5 Case 5. Case 6 Case 6. Case 7 Case 7. DOI: Levitt B, Richter JE. Dysphagia lusoria: A comprehensive review. Dis Esophagus Dysphagia lusoria: Report of a series of six cases. Clin Res Hepatol Gastroenterol ;38 3 :e Correspondence: Catarina Atalaia-Martins. Servicios Personalizados Revista.