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Case Reports
. 2023 Jul 17;9(3):101265.
doi: 10.1016/j.jvscit.2023.101265. eCollection 2023 Sep.

Surgical repair of severe dysphagia lusoria

Lia Michos  1 , Cassidy Hart  1 , Sebastien Nantermet  1 , Robert Meisner  1
Affiliations
Case Reports

Surgical repair of severe dysphagia lusoria

Lia Michos et al. J Vasc Surg Cases Innov Tech. .

Abstract

This case report describes a case of severe dysphagia lusoria secondary to an aberrant right subclavian artery causing compression of the esophagus. Our 62-year-old female patient presented with severe dysphagia and underwent right carotid-subclavian bypass with uncovered thoracic endovascular aortic repair and coil embolization of the aberrant right subclavian artery. This case is unique in that an uncovered dissection stent graft was used to avoid occluding the anatomic left subclavian artery and, therefore, avoid a left carotid-subclavian bypass. This case highlights a unique anatomic variant, its surgical repair, and the long-term improvement in the patient's quality of life.

Keywords: Aberrant right subclavian artery; Bypass; Dysphagia lusoria; Thoracic endovascular aortic repair.

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Figures

Fig 1
Fig 1
Anatomic illustration showing normal arch anatomy (A) and showing aberrant right subcavian artery and its relationship to the esophagus (B).
Fig 2
Fig 2
Pre- (A) and postoperative (B) esophagrams showing compression of the esophagus from the aberrant right subclavian artery preoperatively and decreased compression (arrow) of the esophagus with the presence of the stent and Amplatzer plug postoperatively.
Fig 3
Fig 3
Three-dimensional rendering of thoracic aorta with stent and Amplatzer plug occluding the aberrant right subclavian artery.
Fig 4
Fig 4
Photograph of the uncovered stent and 18-mm Amplatzer plug.
See this image and copyright information in PMC

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