Surgical Treatment of Dysphagia Lusoria Caused by Right-Aortic Arch with Kommerell Diverticulum: Left Heart Bypass without Subclavian Revascularization

Camporrotondo, Mariano; Ricapito, Paz; Espinoza, Juan; Piccinini, Fernando; Vrancic, Mariano; Avegliano, Gustavo; Navia, Daniel

doi:10.1055/s-0038-1639346

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 subjects with ARSA Does not present China Not reported Prince et al 1996 [50] Observational study (19) 1 subject with ARSA Does not present USA Not reported ARSA = aberrant right subclavian artery, CI = confidence interval, KD = Kommerell's diverticulum.…”

Section: Does Not Presentmentioning

confidence: 99%

“…Such is the case of aberrant left subclavian artery, which presented a retroesophageal course pattern compressing the esophagus and generating symptoms that correspond to LD. [14][15][16][17][18][19][20] And even more, the study by Quintero-Pérez et al [21] describes an aberrant right internal carotid artery with a retropharyngeal course pattern, which would generate compression of the pharynx and thereby result in symptoms associated with LD. This evidences the need to clarify the proper use of the term Lusory artery when used to describe the vessel that compresses the esophagus.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review and meta-analysis of right subclavian artery variants and their correlation with cervical-thoracic clinical conditions

Valenzuela-Fuenzalida,

Orellana-Donoso,

Perez-Jiménez

et al. 2024

Medicine

View full text Add to dashboard Cite

Background: A high incidence of anatomical variations in the origin of the branches of the aortic arch has been reported, Nowadays, this variation is considered the most frequent in the aortic arch, its prevalence being estimated between 0.5% and 2.5% of the population. To understand its origin, knowledge of embryonic development is necessary. Methods: We searched the MEDLINE, Scopus, Web of Science, Google Scholar, Cumulative Index to Nursing and Allied Health Literature, and Latin-American literature and caribean of health sciences databases with dates ranging from their inception to June 2023. Study selection, data extraction, and methodological quality were assessed with the guaranteed tool for anatomical studies (Anatomical Quality Assurance). Finally, the pooled prevalence was estimated using a random effects model. Results: Thirty-nine studies were found that met the eligibility criteria. Twenty studies with a total of 41,178 subjects were included in the analysis. The overall prevalence of an ARSA variant was 1% (95% confidence interval = 1%–2%), the clinical findings found are that if ARSA is symptomatic it could produce changes in the hemodynamic function of the thoracocervical region in addition to other associated symptomatic complications in surrounding structures. Conclusions: ARSA can cause several types of alterations in the cervical or thoracic region, resulting in various clinical complications, such as lusory dysphagia. Hence, knowing this variant is extremely important for surgeons, especially those who treat the cervico-thoracic region. The low prevalence of ARSA means that many professionals are completely unaware of its existence and possible course and origin. Therefore, this study provides detailed knowledge of ARSA so that professionals can make better diagnoses and treatment of ARSA.

show abstract

Section: Does Not Presentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review and meta-analysis of right subclavian artery variants and their correlation with cervical-thoracic clinical conditions

Valenzuela-Fuenzalida,

Orellana-Donoso,

Perez-Jiménez

et al. 2024

Medicine

View full text Add to dashboard Cite

show abstract

“…Open surgical repair is challenging and requires careful planning. 2 In pediatric patients, the sacrifice of the subclavian artery is a common procedure, however, in older ages it is related to hypotrophy of the affected thoracic limb. Simple ligation of the subclavian artery risks "subclavian-vertebral steal" and may be associated with limb length discrepancy without complete resolution of symptoms.…”

Section: Introductionmentioning

confidence: 99%

Double approach in a pediatric patient with dysphagia lusoria due to aberrant right subclavian artery

Alcántara¹,

Godoy²,

Pazos³

et al. 2022

MOJCR

View full text Add to dashboard Cite

Compression of the esophagus by an aberrant anomalous subclavian artery is usually a finding, and the presence of symptoms is rare. In children, sacrificing said artery can cause hypotrophy of the thoracic limb. We present the case of a 6-year-old female patient with Turner syndrome and dysphagia lusoria, which was resolved with a double approach anastomosing the subclavian artery to the right carotid artery. We consider this approach is safe without compromising the arterial flow of the thoracic member and resolving the digestive symptomatology.

show abstract

Dysphagia lusoria: problem or incidentaloma?

Epperson

Howell

2019

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of review To address the incidental versus pathogenic nature of dysphagia lusoria and to provide a review of the cause, clinical presentation, diagnosis, and treatment of this condition with respect to recent literature. Recent findings Case reports comprise the majority of recent literature concerning dysphagia lusoria. Many patients with an aberrant right subclavian artery (ARSA) have additional coexisting vascular anomalies. While most individuals present around age 50, some present as children and neonates. Of note, this population may present with dysphagia as opposed to respiratory findings alone, as previously described. In the diagnostic workup, most patients receive a battery of radiologic tests, which may not be necessary. Significantly, dietary modifications and medical management alone may resolve symptoms. Nonetheless, a wide range of operative techniques are available for the treatment of dysphagia lusoria. Summary Clinicians should have a higher suspicion for dysphagia lusoria in patients with known vascular, heart, or chromosomal anomalies. Diagnosis should begin with a barium esophagram followed by a computed tomography angiogram or magnetic resonance angiogram. Avoid unnecessary studies. In many cases, an ARSA may be an incidental finding with comorbid gastroesophageal reflux disease or another medical condition responsible for the symptoms. Medical versus surgical management should be considered on a case-by-case basis.

show abstract

Surgical Treatment of Dysphagia Lusoria Caused by Right-Aortic Arch with Kommerell Diverticulum: Left Heart Bypass without Subclavian Revascularization

Cited by 3 publications

References 7 publications

Systematic review and meta-analysis of right subclavian artery variants and their correlation with cervical-thoracic clinical conditions

Systematic review and meta-analysis of right subclavian artery variants and their correlation with cervical-thoracic clinical conditions

Double approach in a pediatric patient with dysphagia lusoria due to aberrant right subclavian artery

Dysphagia lusoria: problem or incidentaloma?

Contact Info

Product

Resources

About