Vol. 22 - Num. 87
Clinical Reviews in Digestive Diseases
aSección de Gastroenterología, Hepatología y Nutrición Infantil. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
bSección de Radiodiagnóstico Infantil. Servicio de Radiodiagnóstico. Hospital Universitario 12 de Octubre. Madrid. España.
Reference of this article: Pérez de Diego E, Recio Arcauz D, Huguet Rodríguez B, Carabaño Aguado I, Coca Robinot D, Salcedo Lobato E, et al. Dysphagia secondary to aberrant right subclavian artery. Rev Pediatr Aten Primaria. 2020;22:305-9.
Published in Internet: 22-09-2020 - Visits: 1917
Left aortic arch with aberrant right subclavian artery is the most frequent anomaly of the aortic arch. Prenatal diagnosis through echographic imaging has allowed early diagnosis, but the entity still remains mainly an incidental finding. Most cases are asymptomatic, but a subset of patients suffer from dysphagia with the intake of solid food. In a small percentage it can cause poor weight gain or respiratory symptoms secondary to extrinsic compression of the airway. Diagnosis relies usually in oesophagography with barium contrast, although computerized tomography and magnetic resonance with angiography have also shown to be useful, as well as echocardiogram with colour Doppler. Surgery is the preferred treatment option for symptomatic patients.
Keywords● Aortic arch ● Dysphagia ● Subclavian artery ● Vascular
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