title: Dysphagia lusoria: extrathoracic surgical management.
abstract: OBJECTIVE
  To report a case of dysphagia lusoria managed by an extrathoracic approach.
  
  
  METHODS
  Case report and literature review.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  A 39-year-old man, who presented with weight loss and dysphagia. Aortography and computed tomography revealed an aberrant subclavian artery compressing the esophagus against the aortic arch.
  
  
  METHODS
  The right subclavian artery was divided at its origin and reimplanted onto the right carotid artery. The operation was performed through a right supraclavicular incision without opening the chest.
  
  
  RESULTS
  There was no operative morbidity. Six months postoperatively the patient was asymptomatic and had gained weight. There was no radiologic evidence of esophageal compression.
  
  
  CONCLUSIONS
  Based on the results of our case of dysphagia lusoria and the reports of others that have started to appear in the literature, consideration should be given to repairing a symptomatic, nonaneurysmal aberrant right subclavian artery through an extrathoracic approach.
authors.affiliation: Department of Surgery, Victoria Hospital, University of Western Ontario, London, Ont.
authors.forename: M
authors.initials: M
authors.lastname: Taylor
authors.forename: K A
authors.initials: KA
authors.lastname: Harris
authors.forename: A G
authors.initials: AG
authors.lastname: Casson
authors.forename: G
authors.initials: G
authors.lastname: DeRose
authors.forename: W G
authors.initials: WG
authors.lastname: Jamieson
mesh_terms: D000328:Adult; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery*