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Dysphagia lusoria: extrathoracic surgical management
M Taylor1, K A Harris, A G Casson
1Department of Surgery, Victoria Hospital, University of Western Ontario, London, Ont.
Objective:
To report a case of dysphagia lusoria managed by an extrathoracic approach.
Design:
Case report and literature review.
Setting:
A university hospital.
Patient:
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.
Intervention:
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.
Results:
There was no operative morbidity. Six months postoperatively the patient was asymptomatic and had gained weight. There was no radiologic evidence of esophageal compression.
Conclusions:
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.