%0 Journal Article
%T Dysphagia lusoria: A late onset presentation
%A Alice Louise Bennett
%A Charles Cock
%A Richard Heddle
%A Russell Kym Morcom
%J World Journal of Gastroenterology
%D 2013
%I Baishideng Publishing Group Co. Limited
%R 10.3748/wjg.v19.i15.2433
%X Dysphagia lusoria is a term used to describe dysphagia secondary to vascular compression of the oesophagus. The various embryologic anomalies of the arterial brachial arch system often remain unrecognised and asymptomatic, but in 30%-40% of cases can result in tracheo-oesophageal symptoms, which in the majority of cases manifest as dysphagia. Diagnosis of dysphagia lusoria is via barium swallow and chest Computed tomography scan. Manometric abnormalities are variable, but age-related manometric changes may contribute to clinically relevant dysphagia lusoria in patients who present later in life. Our report describes a case of late-onset dysphagia secondary to a right aortic arch with an aberrant left subclavian artery, which represents a rare variant of dysphagia lusoria. The patient had proven additional oesophageal dysmotility with solid bolus only and a clinical response to dietary modification.
%K Dysphagia
%K Dysphagia Lusoria
%K Oesophagus
%K Dysmotility
%K Endoscopy
%U http://www.wjgnet.com/1007-9327/full/v19/i15/2433.htm