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Dysphagia lusoria: a case study.

A Whitley1

  • 1London Health Sciences Centre, Division of Vascular Surgery, London, Ontario, Canada.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|March 17, 2001
PubMed
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Dysphagia lusoria, a swallowing difficulty caused by vascular anomalies, can be effectively treated. This case study highlights successful long-term outcomes following an extrathoracic surgical repair for aberrant right subclavian artery.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Dysphagia lusoria is characterized by difficulty swallowing due to congenital aortic root vascular anomalies compressing the esophagus.
  • Aberrant subclavian artery is a common cause, where the artery courses posterior to the esophagus, leading to symptoms.
  • Surgical repair approaches have been debated, with varying complication rates and visibility concerns.

Observation:

  • A case study of a 25-year-old woman presenting with dysphagia lusoria caused by an aberrant right subclavian artery.
  • The patient underwent surgical repair using an extrathoracic approach.
  • Perioperative management and nursing care were detailed, emphasizing preadmission and same-day admission services.

Findings:

  • The extrathoracic approach demonstrated superior outcomes compared to thoracotomy, with fewer complications and enhanced surgical visibility.

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  • Post-operative follow-up confirmed complete resolution of dysphagia symptoms.
  • No evidence of residual esophageal compression was observed, indicating successful management.

    • Implications:

    • This case supports the efficacy of an extrathoracic surgical approach for treating dysphagia lusoria.
    • Positive long-term results can be achieved in patients with symptomatic dysphagia lusoria.
    • The findings advocate for the use of preadmission and same-day admission services in managing such cases.