1. [Dysphagia lusoria treated by surgery].
- Author
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Mawait N, Kerzmann A, Desiron Q, Henroteaux D, Stiennon L, and Defraigne JO
- Subjects
- Humans, Female, Adult, Middle Aged, Tomography, X-Ray Computed, Radiography, Subclavian Artery diagnostic imaging, Subclavian Artery surgery, Subclavian Artery abnormalities, Deglutition Disorders etiology, Deglutition Disorders surgery, Cardiovascular Abnormalities complications, Cardiovascular Abnormalities diagnostic imaging, Cardiovascular Abnormalities surgery
- Abstract
Aberrant right subclavian artery, also called arteria lusoria, is the most common congenital anomaly of the aortic arch (prevalence 0,5-1.8 %). Patients with trisomy 21 have a higher prevalence (35 %). It takes its origin from the aortic arch after the three others supra-aortic trunks. It may be associated with other cardiovascular anomalies. In more than 80 % of cases, the aberrant artery is positioned behind the oesophagus. It is often asymptomatic. Sometimes it is associated with symptoms after the age of 40 years old, more often among women: dysphagia (dysphagia lusoria), dyspnoea or cough. Diagnosis is made by computed tomography or magnetic resonance imaging. When it is symptomatic, a barium contrast radiography of the oesophagus is indicated. Surgical treatment by transposition of the aberrant vessel is performed only for symptomatic patients. We report the case of a 50-year-old woman with dysphagia lusoria treated by transposition of the aberrant right subclavian artery into the right common carotid through a cervical approach.
- Published
- 2023