title: You are never too old for a congenital disease!
abstract: Congenital diseases are sometimes overlooked by physicians because of their rarity or because of late onset of symptoms, which may delay treatment plans. This is illustrated in our patient who presented with dysphagia along with chest pain and who was found to have a congenital vascular anomaly, detected in her fifth decade of life.
authors.affiliation: Department of Internal Medicine, University of Pittsburgh Medical Center - McKeesport Hospital, Pittsburgh, PA, USA.
authors.forename: Mukul
authors.initials: M
authors.lastname: Khanna
authors.affiliation: Department of Internal Medicine, University of Pittsburgh Medical Center - McKeesport Hospital, Pittsburgh, PA, USA.
authors.forename: Saro
authors.initials: S
authors.lastname: Sarkisian
authors.affiliation: Department of Internal Medicine, University of Pittsburgh Medical Center - McKeesport Hospital, Pittsburgh, PA, USA.
authors.forename: Phu
authors.initials: P
authors.lastname: Tran
authors.affiliation: Department of Internal Medicine, University of Pittsburgh Medical Center - McKeesport Hospital, Pittsburgh, PA, USA.
authors.forename: Ibrahim I
authors.initials: II
authors.lastname: Ghobrial
keywords: aberrant right subclavian artery; barium esophagogram; chest pain; congenital anomaly; dysphagia; extrinsic esophageal compression