Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report (original) (raw)

Journal of Institute of Medicine Nepal

Abstract

Congenital variations and anomalies of the aortic arch are important entity in vascular imaging. Most of them are asymptomatic. About 30-40% presents with tracheo-oesophageal symptoms like dyspnea and dysphagia. A 27 year-old female presented with persistent dysphagia for 6 months duration and cause of persistent dysphagia was the right sided aortic arch with aberrant left subcalvian artery from Kommerell’s diverticulum. The diagnosis was made through combination of chest X-Ray, echocardiography, non-ionic contrast swallow and Computed Tomography angiography. Non-invasive modalities (CT and MR Angiography) play an important role in diagnosis and pre-operative surgical planning providing relationship with the surrounding structures especially trachea and esophagus.

Loading...

Loading Preview

Sorry, preview is currently unavailable. You can download the paper by clicking the button above.

References (10)

  1. Bennett AL, Cock C, Heddle R, et al. Dysphagia lusoria: a late onset presentation. World J Gastroenterol. 2013 Apr 21;19(15):2433.
  2. Donnelly LF, Fleck RJ, Pacharn P, et al. Aberrant subclavian arteries: cross-sectional imaging findings in infants and children referred for evaluation of extrinsic airway compression. AJR Am J Roentgenol. 2002 May;178(5):1269-74;
  3. Cengiz A, Arslan S, Durmaz MS, et al. A Rare Cause of Persistent Dysphagia: Dysphagia Lusoria. Clin Med Img Lib 2016; 2:051.
  4. Hanneman K, Newman B, Chan F. Congenital variants and anomalies of the aortic arch. Radiographics. 2017 Jan;37(1):32- 51.
  5. Priya S, Thomas R, Nagpal P, et al. Congenital anomalies of the aortic arch. Cardiovasc Diagn Ther. 2018 Apr;8(Suppl 1):S26-S44.
  6. Edwards JE. Anomalies of the derivatives of the aortic arch system. Med Clin North Am. 1948 Jan 1;32(4):925-49.
  7. Sarv Priya RT, Nagpal P, Sharma A, et al. Congenital anomalies of the aortic arch. Cardiovasc Diagn Ther. 2018 Apr;8(Suppl 1):S26.
  8. Jakanani GC, Adair W. Frequency of variations in aortic arch anatomy depicted on multidetector CT. Clin Radiol. 2010 Jun 1;65(6):481-7.
  9. Mubarak MY, Kamarul AT, Noordini MD. Right-sided aortic arch with aberrant left subclavian artery from Kommerell's diverticulum. Iran J Radiol 2011 Sep;8(2):103.
  10. Raphael RL, Schnabel Jr TG, Leopold SS. A new method for demonstrating an aberrant right subclavian artery. Radiology. 1952 Jan;58(1):89-9.