Aberrant right subclavian artery

Case contributed by Farah Abu Jebbeh
Diagnosis certain

Presentation

Dysphagia.

Patient Data

Age: 20 years
Gender: Male

Case Discussion

Aberrant right subclavian artery (with a normal left-sided aortic arch) is seen in 1% of patients.

The aberrant right subclavian artery travels posterior to the esophagus, which appears on an upper GI study as a posterior smooth esophageal indentation.

It is almost asymptomatic.

If there is an impairment of swallowing as a symptom, it is called dysphagia lusoria, and appears as a result of compression of aberrant right subclavian artery on esophagus.

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