Aberrant right subclavian artery

Case contributed by Dr Aneta Kecler - Pietrzyk

Presentation

Severe dysphagia leading to feeding difficulties malnutrition and anaemia. Investigated with endoscopy, barium swallows with no abnormality identified. CT was ordered as patient presented with severe shortness of breath. As underlying malignancy was suspected CTPA was planned to exclude secondary PE.

Patient Data

Age: 55 years
Gender: Female
Modality: CT

Aberrant right subclavian artery is evident posterior to the oesophagus.

 

Case Discussion

Aberrant right subclavian arteries are a commonly seen normal variant of the aortic arch. It may rarely cause difficulties with swallowing, called dysphagia lusoria.

In this case, the dysphagia was severe and lead to significant malnutrition. Identification of this normal variant was crucial for the explanation of patient's symptoms and planning of further management.

No other underlying abnormality, including occult malignancy, was identified.

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Case Information

rID: 52466
Case created: 8th Apr 2017
Last edited: 13th Apr 2017
Inclusion in quiz mode: Included

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