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Late-onset dysphagia lusoria
C D Morris1, K R Kanter, J I Miller
1Joseph B Whitehead, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
The Annals of Thoracic Surgery
|March 10, 2001
Abstract:
Symptomatic vascular rings are uncommon in adults. We report a case of dysphagia in a 48-year-old woman from a right-sided aortic arch with aberrant left subclavian artery and left-sided ligamentum arteriosum. Through a left posterolateral thoracotomy, the ligamentum was divided, relieving the patient's dysphagia. Twenty-three cases of adult-onset dysphagia lusoria attributable to this anatomy have been reported. We recommend a left thoracotomy with division of the ligamentum as treatment.