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Adult-Onset Dysphagia Lusoria from an Uncommon Vascular Ring: A Case Report and Review of the Literature

Section of Vascular Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Matthew W. Mell, MD

Section of Vascular Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, mell{at}surgery.wisc.edu

Charles W. Acher, MD

Section of Vascular Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Vascular rings are a rare cause of symptoms in adult patients. We report the case of a 48-year-old woman presenting with dysphagia lusoria due to an uncommon vascular ring: right aortic arch with mirror-image branching and a left ligamentum arteriosum. No previous reports exist of adult-onset dysphagia lusoria attributable to this anatomy. The patient underwent a limited muscle-sparing thoracotomy with division of the ligamentum. The division interrupted the vascular ring and relieved her esophageal compression. The presentation, evaluation, pathophysiology, and treatment of this condition are discussed.

Key Words: adult • aorta • thoracic/abnormalities • aorta • thoracic/surgery • esophageal stenosis/etiology • female • humans • middle aged • vascular surgical procedures

This version was published on February 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 1, 100-102 (2009)
DOI: 10.1177/1538574408323503


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