Digital Health Assistant & Symptom Checker | Symptoma
0%
Restart

Are you sure you want to clear all symptoms and restart the conversation?

About COVID-19 Jobs Press Scholarship Terms Privacy Imprint Medical Device Language
Languages
Suggested Languages
English en
Other languages 0
2.1
Dysphagia Lusoria

Images

WIKIDATA, Public Domain

Presentation

Symptoms, when present, occur at the two extremes of life. Owing to the more flexible and compressible nature of the trachea, children usually present with respiratory symptoms, in contrast to adults, who more often present with dysphagia. [ncbi.nlm.nih.gov]

Author notes † Presented as a poster presentation at CT CON 2010, Annual Conference of the Indian Association of Cardiothoracic and Vascular Surgeons, Chennai, India, 18 February 2010. © The Author 2012. [dx.doi.org]

Only one patient presented with an aneurysmal rupture. In infants, respiratory symptoms are the predominant mode of presentation. [oadoi.org]

Respiratoric

  • Sputum

    A 46 year old female, a homemaker came to our hospital with C/O  Cough with expectoration for 1 week duration  White, mucoid sputum  H/O difficulty in swallowing for the past 6 months Intermittent in nature, more to solids than liquids 3.  No H/O [slideshare.net]

Musculoskeletal

  • Hand Deformity

    This patient's congenital hand deformities illustrate the embryological origin of this vascular anomaly, which is the most common congenital aortic root abnormality and has a prevalence ranging from 0.5% to 1.8% in the general population. 1 Barium esophagram [ncbi.nlm.nih.gov]

    This patient's congenital hand deformities illustrate the embryological origin of this vascular anomaly, which is the most common congenital aortic root abnormality and has a prevalence ranging from 0.5% to 1.8% in the general population. [mayoclinicproceedings.org]

Neurologic

  • Drop Attacks

    A 45-year-old laborer presented with a several year history of episodic bilateral blindness and a more recent onset of "drop attacks." Notably this patient had presented at the age of 18 months with difficulty breathing and eating since birth. [ncbi.nlm.nih.gov]

  • Limb Weakness

    It is clear that re-establishment of retrograde flow in the right subclavian artery is necessary to prevent limb weakness and ischemia and resultant subclavian steal syndrome. [bariatrictimes.com]

Workup

Workup revealed a right-sided aortic arch with a left ligamentum arteriosum. When he was first seen in our clinic, history and physical examination revealed claudication and diminished pulses in the left upper extremity. [ncbi.nlm.nih.gov]

We present a case of a young patient with progressive dysphagia who underwent extensive workup and repetitive endoscopic procedures until diagnosed. [eventscribe.com]

Extensive cardiac workup was negative for an acute coronary syndrome and she was discharged home with instructions to follow up at the bariatric clinic. [bariatrictimes.com]

She was found to have a negative cardiac workup for ischemia with a subsequent computed tomography angiogram (CTA) of the chest showing an abnormal right subclavian artery. [cureus.com]

X-Ray

  • Gastric Fistula

    The gastric pouch was normal in size without evidence of bile reflux or gastro-gastric fistula. The gastro-jejunal anastomosis was patent without evidence of stricture or marginal ulceration ( Figure 1 ). [bariatrictimes.com]

Treatment

Treatment is indicated to relieve dysphagia lusoria, as well as in cases where the ARSA is aneurismal [9]. [heraldopenaccess.us]

: Dysphagia lusoria: Anterior approach for definitive treatment. Can J Surg 20:350-352, 1977. Google Scholar Karlson KJ, Heiss FW, Ellis FH : Adult dysphagia lusoria: Treatment by arterial division and reestablishment of vascular continuity. [journals.sagepub.com]

[…] of dysphagia lusoria due to aberrant right subclavian artery. 61 Fukuhara S...Bernik T 23243037 2013 50 A novel approach for the treatment of dysphagia lusoria. 61 Venugopal RR...Narayan M 23047268 2013 [malacards.org]

Arch Surg 88(4)666-675 [7] Gross RE (1946) Surgical treatment for dysphagia lusoria. [eurorad.org]

Dysphagia lusoria: Proposal of a new treatment. Surg Endosc 1987; 1 : 255–257. 16. Kieffer, E, Bahnini, A, Koskas, F. Aberrant subclavian artery: Surgical treatment in thirty-three adult patients. J Vas Surg 1994; 19 : 100–111. 17. [nature.com]

Prognosis

(Outcomes/Resolutions) The prognosis of Aberrant Subclavian Artery is dependent upon the severity of the signs and symptoms and associated complications, if any Individuals with mild conditions have better prognosis than those with severe symptoms and [dovemed.com]

Prognosis is poor.(Sharma and Schwartz 2012) [adam-mdmph.quarto.pub]

Etiology

Export Citation: APA/MLA Format Download EndNote Download BibTex MeSH Terms Descriptor/Qualifier: Aged Aorta, Thoracic / abnormalities* Deglutition Disorders / congenital*, etiology, radiography Diagnostic Errors Esophageal Stenosis / diagnosis Female [biomedsearch.com]

Etiology Frequently associated with humerus fractures/elbow dislocation. Seen often in children. [adam-mdmph.quarto.pub]

(Etiology) The exact cause of Aberrant Subclavian Artery is not known. It is believed to be an anomaly of the aortic arch during embryonic development. During embryonic development, the aortic arch gets remodeled. [dovemed.com]

Feeding problems in infants and children: Assessment and etiology. Pediatr. Clin. North Am. 2018, 65, 59–72. [Google Scholar] [CrossRef] [PubMed] de Araújo, G.; Junqueira Bizzi, J.W.; Muller, J.; Cavazzola, L.T. [mdpi.com]

Epidemiology

All these factors limit our ability to correctly assess the true epidemiology of this iatrogenic disorder. [bjmp.org]

Epidemiological studies suggest that as many as 22% of the population over the age of 50 years are affected by dysphagia.[1] Dysphagia that is caused by external compression of an aberrant vessel is known as dysphagia lusoria. [hamdanjournal.org]

Pathophysiology

The presentation, evaluation, pathophysiology, and treatment of this condition are discussed. [ncbi.nlm.nih.gov]

It was discovered by David Bayford in 1761 and first reported in a paper by the same in 1787.[1] Contents 1 Pathophysiology 2 Treatment 3 Eponym 4 See also 5 References 6 External links Pathophysiology[edit] During development of aortic arch, if the proximal [en.wikipedia.org]

As venous and arterial thrombotic events were identified, other pathophysiological mechanisms were explored through an extensive work-up of the coagulation system which succesfully excluded diffuse intravascular coagulation, factor V Leiden, factor II [jbsr.be]

Pediataric gastrointestinal disease: pathophysiology, diagnosis and management, vol. I. Philadelphia: BC Decker Inc, 1991:375-6 12. Lunde R, Sanders E, Hoskam JA. Right aortic arch symptomatic in adulthood. Neth J Med, 2002; 60(5): 212-5 13. [bjmp.org]

Prevention

To prevent possible ischemic complications, most surgeons favor revascularization of the distal subclavian artery. Thoracotomy has been the traditional approach for division or reimplantation of the aberrant right subclavian artery. [ncbi.nlm.nih.gov]

After the vascular ring is released, the diverticulum is not observed to impinge on the esophagus; however, as a preventive measure, the surgeon sutures it to the anterior spinous ligament. [mdedge.com]

[…] female patient who was diagnosed with dysphagia lusoria following a barium swallow examination is presented, reiterates the importance of such protocols, in order to be able to avoid the risks of an unnecessary surgical procedure, whilst being sure to prevent [semanticscholar.org]

Currently, Aberrant Subclavian Artery may not be preventable, since it is a congenital disorder Active research is currently being performed to explore the possibilities for treatment and prevention of disorders such as Aberrant Subclavian Artery Regular [dovemed.com]

This would help to avoid complex surgical procedures associated with an increased morbidity and mortality rates, whilst preventing the undertreatment of severely affected individuals. [econtent.hogrefe.com]

Languages
Suggested Languages
English en
Other languages 0
2.1
About Symptoma.com COVID-19 Jobs Press Scholarship
Contact Terms Privacy Imprint Medical Device