Dysphagia lusoria: extrathoracic surgical management
Taylor, M.; Harris, K.A.; Casson, A.G.; DeRose, G.; Jamieson, W.G.
Canadian Journal of Surgery. Journal Canadien de Chirurgie 39(1): 48-52
1996
ISSN/ISBN: 0008-428X PMID: 8599791 Document Number: 467737
To report a case of dysphagia lusoria managed by an extrathoracic approach. Case report and literature review. A university hospital. A 39-year-old man, who presented with weight loss and dysphagia. Aortography and computed tomography revealed an aberrant subclavian artery compressing the esophagus against the aortic arch. The right subclavian artery was divided at its origin and reimplanted onto the right carotid artery. The operation was performed through a right supraclavicular incision without opening the chest. There was no operative morbidity. Six months postoperatively the patient was asymptomatic and had gained weight. There was no radiologic evidence of esophageal compression. Based on the results of our case of dysphagia lusoria and the reports of others that have started to appear in the literature, consideration should be given to repairing a symptomatic, nonaneurysmal aberrant right subclavian artery through an extrathoracic approach.