Aberrant right subclavian artery

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Chronic dry cough and transient mild dysphagia.

Patient Data

Age: 45 years
Gender: Female

There is an aberrant right subclavian artery in the upper posterior mediastinum originating from the posteromedial margin of the aortic arch, coursing the posterior margin of the adjacent esophagus, and ending within the right side subclavian region.

Case Discussion

The case illustrates aberrant right subclavian artery (ARSA) or arteria lusoria was found incidentally on screening non-contrast chest MDCT. The aberrant artery can lead to dysphagia lusoria or chronic dry cough with an impression on the esophagus or trachea respectively but in most cases arteria lusoria is asymptomatic. The ARSA is more seen in females as in this case.

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