Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring
Joint Authors
Shetty, Vijay
Kamholz, Stephan
Namana, Vinod
Sinha, Ankur
Raheja, Hitesh
Abrol, Sunil
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-15
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 49-year-old African American male patient with no past medical history was admitted because of 3 months of difficulty swallowing solid and liquid foods.
He had constant retrosternal discomfort and appeared malnourished.
The chest radiograph revealed a right sided aortic arch with tracheal deviation to the left.
A swallow study confirmed a fixed esophageal narrowing at the level of T6.
Contrast enhanced Computed Tomography (CT) angiogram of the chest and neck revealed a mirror image right aortic arch with a left sided cardiac apex and a prominent ductus diverticulum (measuring 1.7 × 1.8 cm).
This structure extended posterior to and indented the mid esophagus.
A left posterolateral thoracotomy was performed and the ductus diverticulum was resected.
A retroesophageal ligamentum arteriosum was found during surgery and divided.
This rare combination of congenital anatomical aberrations led to severe dysphagia in our patient.
Successful surgical correction in the form of resection of the ductus diverticulum and division of the retroesophageal ligamentum arteriosum led to complete resolution of our patient’s symptoms.
American Psychological Association (APA)
Sinha, Ankur& Raheja, Hitesh& Namana, Vinod& Abrol, Sunil& Kamholz, Stephan& Shetty, Vijay. 2017. Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144279
Modern Language Association (MLA)
Sinha, Ankur…[et al.]. Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring. Case Reports in Cardiology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144279
American Medical Association (AMA)
Sinha, Ankur& Raheja, Hitesh& Namana, Vinod& Abrol, Sunil& Kamholz, Stephan& Shetty, Vijay. Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144279
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144279