title: Hybrid treatment of dysphagia lusoria: right carotid to subclavian bypass and endovascular insertion of an Amplatzer II Vascular Plug.
abstract: Compression of the esophagus by a retroesophageal aberrant right subclavian artery (ARSA) is a rare cause of dysphagia. We present the case of a 47-year-old female with symptoms of progressive dysphagia diagnosed with dysphagia lusoria using barium swallow and contrast computed tomography and successfully treated with a hybrid procedure: right carotid to subclavian bypass and endovascular insertion of an Amplatzer II Vascular Plug through the right superficial femoral artery. We consider this approach safer, less invasive and more complete to avoid recurrent dysphagia.
authors.affiliation: Cirugía Vascular, Centro Especializado en Diabetes, Mexico.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Cobos-González
authors.affiliation: Cirugía General, Centro Medico ABC, Mexico.
authors.forename: Jose Arturo
authors.initials: JA
authors.lastname: Aragón-López
authors.affiliation: Radiología e Imagen, Centro Medico ABC, Mexico.
authors.forename: Ricardo
authors.initials: R
authors.lastname: García Buen-Abad
authors.affiliation: Medicina Interna, Centro Especializado en Diabetes, Mexico.
authors.forename: José A
authors.initials: JA
authors.lastname: Rojas
authors.affiliation: Anestesiología, Centro medico ABC, Mexico.
authors.forename: Abraham
authors.initials: A
authors.lastname: Gutiérrez
mesh_terms: D000783:Aneurysm; D015901:Angiography, Digital Subtraction; D018376:Cardiovascular Abnormalities; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D057510:Endovascular Procedures / Q000379:methods*; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities; D014057:Tomography, X-Ray Computed