Dysphagia lusoria - aberrant right subclavian artery

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Mild longstanding dysphagia and throat discomfort after eating.

Patient Data

Age: 50 years
Gender: Female

Barium swallow reveals fixed narrowing of the esophagus at the level of the aortic arch without mucosal abnormality.  The narrowing runs obliquely from the inferior left to the superior right and involves the posterior aspect of the esophagus. This is consistent with extrinsic compression by a retro-esophageal aberrant right subclavian artery resulting in dysphagia lusoria.     

Case Discussion

Dysphagia lusoria is an impairment of swallowing due to compression from an aberrant right subclavian artery (arteria lusoria).

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