Adult-onset dysphagia lusoria from an uncommon vascular ring: a case report and review of the literature.
Vascular rings are a rare cause of symptoms in adult patients. We report the case of a 48-year-old woman presenting with dysphagia lusoria due to an uncommon vascular ring: right aortic arch with mirror-image branching and a left ligamentum arteriosum. No previous reports exist of adult-onset dysphagia lusoria attributable to this anatomy. The patient underwent a limited muscle-sparing thoracotomy with division of the ligamentum. The division interrupted the vascular ring and relieved her esophageal compression. The presentation, evaluation, pathophysiology, and treatment of this condition are discussed.
Sitzman
Thomas J
TJ
Section of Vascular Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Mell
Matthew W
MW
Acher
Charles W
CW
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000473:pathology; D001018:Aortic Diseases / Q000150:complications* / Q000151:congenital / Q000473:pathology / Q000601:surgery; D003680:Deglutition Disorders / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D004940:Esophageal Stenosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D004945:Esophagoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D013908:Thoracotomy; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures