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

^* To whom correspondence should be addressed. E-mail: tsitzman{at}uwhealth.org.

	Abstract

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.

First published on September 30, 2008, doi:10.1177/1538574408323503

Vascular and Endovascular Surgery 2009;43:100.

A more recent version of this article appeared on February 1, 2009


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