Translocation of an Aberrant Right Subclavian Artery With Resolution of Dysphagia Lusoria

Abstract

The presence of a left aortic arch with an aberrant right subclavian artery is a well-described anatomic variant that rarely causes symptoms. When symptoms of dysphagia lusoria do occur, however, operative intervention may be necessary. The purpose of this report is to describe our preferred surgical approach to treat dysphagia lusoria secondary to an aberrant right subclavian artery.

Simple Endovascular Repair for Symptomatic Aberrant Right Subclavian Artery in a Debilitated Patient

“…Aberrant right subclavian artery is usually asymptomatic but can cause symptoms of the trachea or esophagus is compressed between the ARSA posteriorly and truncus bicaroticus anteriorly. 2,3 Cases of tracheal stenosis with dyspnea due to ARSA as in the present case are very rare. In this patient, thoracic deformity prompted the symptom, although there were no obvious causes of tracheal compression such as Kommerell diverticulum.…”

Symptomatic Aberrant Right Subclavian Artery: Advantages of a Less Invasive Surgical Approach

“…Several procedures have been proposed in the treatment of symptomatic ARSA and actually controversy exists concerning the best surgical technique. 8) The less invasive surgical approach performed in this case, through a left thoracoscopic procedure and a right supraclavicular incision, has the advantage of minimizing postoperative morbidity associated with thoracotomy and allows an optimal exposure of the neurovascular structures.…”

Aberrant Right Subclavian Artery with a Bicarotid Trunk: The Importance of Diagnosing This Rare Incidental Anomaly

“…They cause restriction to the anterior movement of the trachea and esophagus as they pass anteriorly and posteriorly in relation to these structures. Also, the symptoms may occur if an aneurysm of the origin of the aberrant vessel is present [8]. The most common symptom is dysphagia due to the retroesophageal course, also clinically termed as dysphagia lusoria [1,9].…”