An unusual Cause of Late-Onset Dysphagia: Aberrant Right Subclavian Artery

Dysphagia that develops in the late period due to vascular compression of the esophagus is a rare condition and is known as dysphagia lusoria. The arterial developmental anomalies that occur during embryological development of the branchial arch system are shown as the cause. Most of the cases are asymptomatic, but in 30–40% of the cases, tracheoesophageal symptoms occur. Dysphagia lusoria is diagnosed using barium fluoroscopic examinations and computed tomography. Manometric findings are variable, and age-related esophageal motility changes may contribute to the diagnosis of dysphagia lusoria. In this case report, we aimed to present a case of late-onset dysphagia due to the aberrant right subclavian artery. The patient had dysphagia against solid foods, and the symptoms were controlled with diet modification without the need for surgery.

Geç Başlangıçlı Disfajinin Nadir Bir Nedeni: Aberan Sağ Subklaviyan Arter

Özefagusun vasküler kompresyonuna bağlı geç dönemde gelişen disfaji nadir bir durumdur ve disfaji lusoria olarak bilinir. Brankiyal ark sisteminin embriyolojik gelişimi döneminde meydana gelen arteryel gelişim anomalileri neden olarak gösterilmektedir. Olguların çoğu semptomsuzdur, ancak %30–40’ında trakeoözefajial semptomlar görülür. Disfaji lusoria tanısı baryumlu floroskopik incelemeler ve bilgisayarlı tomografi ile konur. Manometrik bulgular değişkendir, yaşa bağlı gelişen özefagial motilite değişiklikleri disfaji lusoria tanısına katkıda bulunabilir. Biz bu olgu sunumuzda, aberran sağ subklaviyan artere bağlı gelişen geç başlangıçlı disfaji olgusunu sunmayı amaçladık. Olguda katı gıdalara karşı olan disfaji mevcuttu ve cerrahiye gerek kalmadan diyet modifikasyonu ile semptomlar kontrol altına alındı.

Kaynakça

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2. Janssen M, Baggen MG, Veen HF, Smout AJ, Bekkers JA, Jonkman JG et al. Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Am J Gastroenterol 2000;95:1411–6.

3. Molz G, Burri B. Aberrant subclavian artery (arteria lusoria): sex differences in the prevalence of various forms of the malformation. Virchows Arch A Pathol Anat Histol 1978;380:303–15.

4. Van Son JA, Konstantinov IE. Burckhard F. Kommerell and Kommerell’s diverticulum. Tex Heart Inst J 2002;29:109–12.

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8. Karcaaltincaba M, Haliloglu M, Ozkan E, Kocak M, Akinci D, Ariyurek M. Non-invasive imaging of aberrant right subclavian artery pathologies and aberrant right vertebral artery. Br J Radiol 2009;82:73–8.

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Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

838180

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