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Dysphagia Lusoria: a Late Onset Presentation

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Specialty Gastroenterology
Date 2013 Apr 25
PMID 23613640
Citations 11
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Abstract

Dysphagia lusoria is a term used to describe dysphagia secondary to vascular compression of the oesophagus. The various embryologic anomalies of the arterial brachial arch system often remain unrecognised and asymptomatic, but in 30%-40% of cases can result in tracheo-oesophageal symptoms, which in the majority of cases manifest as dysphagia. Diagnosis of dysphagia lusoria is via barium swallow and chest Computed tomography scan. Manometric abnormalities are variable, but age-related manometric changes may contribute to clinically relevant dysphagia lusoria in patients who present later in life. Our report describes a case of late-onset dysphagia secondary to a right aortic arch with an aberrant left subclavian artery, which represents a rare variant of dysphagia lusoria. The patient had proven additional oesophageal dysmotility with solid bolus only and a clinical response to dietary modification.

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References
1.
McNally P, Rak K . Dysphagia lusoria caused by persistent right aortic arch with aberrant left subclavian artery and diverticulum of Kommerell. Dig Dis Sci. 1992; 37(1):144-9. DOI: 10.1007/BF01308358. View

2.
Dandelooy J, Coveliers J, van Schil P, Anguille S . Dysphagia lusoria. CMAJ. 2009; 181(8):498. PMC: 2761442. DOI: 10.1503/cmaj.081651. View

3.
Panduranga P, Al-Delamie T, Ratnam L, Al-Mukhaini M, Zachariah S . Repair of Kommerell's diverticulum with aberrant left subclavian artery in an elderly patient with right aortic arch and dysphagia lusoria. J Card Surg. 2011; 26(6):637-40. DOI: 10.1111/j.1540-8191.2011.01344.x. View

4.
LICHTER I . THE TREATMENT OF DYSPHAGIA LUSORIA IN THE ADULT. Br J Surg. 1963; 50:793-6. DOI: 10.1002/bjs.18005022605. View

5.
Tack J, VANTRAPPEN G . The aging oesophagus. Gut. 1997; 41(4):422-4. PMC: 1891523. DOI: 10.1136/gut.41.4.422. View