Late-onset dysphagia lusoria.
Symptomatic vascular rings are uncommon in adults. We report a case of dysphagia in a 48-year-old woman from a right-sided aortic arch with aberrant left subclavian artery and left-sided ligamentum arteriosum. Through a left posterolateral thoracotomy, the ligamentum was divided, relieving the patient's dysphagia. Twenty-three cases of adult-onset dysphagia lusoria attributable to this anatomy have been reported. We recommend a left thoracotomy with division of the ligamentum as treatment.
Joseph B Whitehead, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
C D
CD
Morris
K R
KR
Kanter
J I
JI
Miller
D001027:Aortography; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008022:Ligaments / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery