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Updated: Sep 6, 2025

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
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Caught in a vice.

Vipin Dulam1,2, Suresh Keshavamurthy3, Maruti Kumaran1

  • 1Temple University Hospital 3401 N Broad St Philadelphia, Philadelphia, PA 19140 USA.

Indian Journal of Thoracic and Cardiovascular Surgery
|June 27, 2022
PubMed
Summary

Scleroderma patients undergoing lung transplantation may have anatomical issues like an aberrant right subclavian artery causing dysphagia. Prompt diagnosis via imaging is crucial for managing this rare complication post-transplant.

Keywords:
Aberrant right subclavian arteryEsophageal compressionFeeding difficultiesLung transplantation

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Area of Science:

  • Cardiology
  • Pulmonology
  • Gastroenterology

Background:

  • Scleroderma commonly causes esophageal dysmotility and dysphagia.
  • Interstitial lung disease (ILD) in scleroderma patients often necessitates lung transplantation.
  • Lung transplantation for scleroderma-related ILD is considered high-risk.

Observation:

  • A patient with scleroderma-related ILD developed dysphagia post-lung transplantation.
  • An aberrant right subclavian artery was identified as the cause of esophageal compression.
  • This anatomical anomaly presented as a rare complication in the post-operative course.

Findings:

  • An aberrant right subclavian artery can cause significant esophageal compression (dysphagia).
  • This anatomical variation is an uncommon but critical finding in post-lung transplant patients with scleroderma.
  • Advanced imaging techniques are essential for diagnosing such esophageal compressions.

Implications:

  • Recognizing anatomical causes of dysphagia is vital for managing scleroderma patients post-lung transplant.
  • Early diagnosis through imaging can prevent severe post-operative complications.
  • This case highlights the importance of comprehensive pre- and post-operative assessments in complex patient populations.