title: Minithoracotomy oesophagectomy for oesophageal carcinoma with aberrant right subclavian artery: a rare case of dysphagia.
abstract: BACKGROUND
  Aberrant R/subclavian artery is a rare congenital anomaly involving aortic arch. Oesophageal carcinoma with associated aberrant R/subclavian artery is very rare and only few cases has been reported in literature. If unrecognized and injured during oesophageal surgery, it can lead to disastrous complications. When associated with oesophageal carcinoma, it can cause diagnostic confusion as the symptoms are similar.
  
  
  METHODS
  A 60 year old previously healthy female presented with intermittent dysphagia, odynophagia and loss of weight of 3 months duration. She was found to have a oesophageal carcinoma with incidentally co-existing aberrant R/subclavian artery.
  
  
  CONCLUSIONS
  Although rare this entity should be considered as a differential diagnosis in a patient with dysphagia. In addition, pre-operative identification is important to prevent intra operative vascular complications. The diagnosis and treatment of this rare condition is discussed in this article.
authors.affiliation: University Surgical Unit, The National Hospital of Sri Lanka, Colombo, Sri Lanka. dumindas1982@yahoo.com.
authors.forename: Duminda
authors.initials: D
authors.lastname: Subasinghe
authors.forename: Hemantha
authors.initials: H
authors.lastname: Sudasinghe
authors.forename: Chathuranga Tisara
authors.initials: CT
authors.lastname: Keppetiyagama
authors.forename: Sumana D
authors.initials: SD
authors.lastname: Handagala
authors.forename: Anuja
authors.initials: A
authors.lastname: Abayadeera
authors.forename: Merrenna Im
authors.initials: MI
authors.lastname: De Zoysa
mesh_terms: D000783:Aneurysm / Q000150:complications*; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery*; D018376:Cardiovascular Abnormalities / Q000150:complications*; D003680:Deglutition Disorders / Q000150:complications / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities*; D013908:Thoracotomy / Q000379:methods