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A 45-year-old woman had had intermittent dysphagia for two years. Physical examination revealed a blood pressure of 104/72 mm Hg in the right arm and 120/80 mm Hg in the left. A barium swallow revealed an aberrant right subclavian artery indenting the upper esophagus (arrow in Panel A). The results of an esophageal-motility study were normal. Computed tomography of the chest showed the collapsed esophagus confined between the trachea to the right, the carotid arteries anteriorly, and the aberrant right subclavian artery posteriorly (arrow in Panel B). Angiography showed a common origin of the carotid arteries (truncus bicaroticus) from the . . . [Full Text of this Article]
Morgan-Hughes, G. J., Owens, P. E., Roobottom, C. A., O'Dwyer, H., Ryan, S., Saidlear, C.
(2002). Aberrant Right Subclavian Artery and Dysphagia Lusoria. NEJM
347: 1532-1532
[Full Text]