RESUMO
Dysphagia lusoria is a rare cause of organic dysphagia. This report describes a series of six patients admitted to our university hospital for dysphagia lusoria. Dysphagia was a constant feature in all our patients. Upper gastrointestinal endoscopy and a barium esophagram prompted the diagnosis, which was confirmed by angiography of the aortic arch showing an aberrant right subclavian artery in all cases. Treatment was surgical in all patients with good results.
Assuntos
Transtornos de Deglutição/etiologia , Artéria Subclávia/anormalidades , Adulto , Aorta Torácica/diagnóstico por imagem , Transtornos de Deglutição/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Artéria Subclávia/diagnóstico por imagem , Artéria Subclávia/cirurgia , Adulto JovemRESUMO
Aneurysms of the intra-thoracic subclavian artery (SCA) are rare. They are often revealed by complications. Surgical treatment is always indicated. Endovascular treatment is a less invasive alternative. We report a case of a 60 years-old woman admitted for right chest pain and dysphonia. Laryngoscopy noted a right vocal cord palsy. Chest computed tomography and angiography showed a giant aneurysm of the intra-thoracic right SCA. A resection-ligation of the aneurysm was performed by a supra-clavicular approach. Postoperative course was uneventful. The histology defined an atherosclerotic aneurysm. The patient underwent voice reeducation with partial improvement after six months.
