Aberrant right subclavian artery and phlebectasia of right internal jugular vein
Citation, DOI and case data
Presented with sore throat and voice hoarseness. Ex-smoker. Ultrasound shows multinodular goiter.
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Multinodular goiter with no lymphadenopathy.
Incidental note of aberrant right subclavian artery and dilated right internal jugular vein.
Phlebectasia is rare, and most cases are diagnosed during childhood. It is considered a benign condition. Most common complaint is a swelling in the neck that is more obvious on Valsalva maneuver, Observation is the most common course given it rarely causes symptom. Thrombosis and Horner's syndrome are rare complication from phlebectasia.
Aberrant right subclavian artery is a variant anatomy of the aortic arch, again usually asymptomatic but can be a cause of dysphagia, termed lusoria dysphagia where the dysphagia is caused by direct compression from the vessel.
In this patient's case, both findings are incidental and is having further workup for her voice hoarseness.
- Bennett A, Cock C, Heddle R, Morcom R. Dysphagia Lusoria: A Late Onset Presentation. World J Gastroenterol. 2013;19(15):2433-6. doi:10.3748/wjg.v19.i15.2433
- Figueroa-Sanchez J, Ferrigno A, Benvenutti-Regato M, Caro-Osorio E, Martinez H. Internal Jugular Phlebectasia: A Systematic Review. Surg Neurol Int. 2019;10:106. doi:10.25259/sni-217-2019
- Alenezi M, Alaglan A, Almutairi A, Alanazy S, Al Wutayd O. Unilateral Internal Jugular Vein Phlebectasia in an Adult: Management and One Year Follow-Up. SAGE Open Med Case Rep. 2019;7:2050313X19836351. doi:10.1177/2050313X19836351