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La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie
Aortic abnormalities are a rare cause of dysphagia in children, adolescents, young adults and in the elderly. In these cases, vascular abnormalities commonly include aberrant right subclavian artery, left subclavian artery originating from the right aortic arch and, more rarely, from the right aorti...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388619/ https://www.ncbi.nlm.nih.gov/pubmed/32774594 http://dx.doi.org/10.11604/pamj.2020.36.17.17206 |
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author | Nkomo, David Douglas Banga Mafok, Louis Joss Bitang A |
author_facet | Nkomo, David Douglas Banga Mafok, Louis Joss Bitang A |
author_sort | Nkomo, David Douglas Banga |
collection | PubMed |
description | Aortic abnormalities are a rare cause of dysphagia in children, adolescents, young adults and in the elderly. In these cases, vascular abnormalities commonly include aberrant right subclavian artery, left subclavian artery originating from the right aortic arch and, more rarely, from the right aortic arch with thoracic aorta on the left. Dysphagia, also known as “dysphagia lusoria”, is due to the compression of the esophagus caused by one or several congenital vascular abnormalities and can occur in childhood or later in adulthood. Upper gastrointestinal series show extrinsic compression of the esophagus and thoracic angiography (scanner or magnetic resonance imaging (MRI)) is used to confirm the diagnosis. In a few cases, surgical treatment is often required. We here report the case of a 30-year old female patient, with no previous medical or surgical history, presenting with dysphagia to solid foods of recent onset, without other associated symptom. Physical examination showed good general condition. The patient underwent upper gastrointestinal series revealing extrinsic esophageal compression, then chest X-ray and chest MRI showing right aortic arch with left descending aorta, without situs inversus. Finally, echocardiography was performed which excluded associated congenital heart disease. Outcome was marked by spontaneous regression of dysphagia. |
format | Online Article Text |
id | pubmed-7388619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-73886192020-08-07 La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie Nkomo, David Douglas Banga Mafok, Louis Joss Bitang A Pan Afr Med J Images in Clinical Medicine Aortic abnormalities are a rare cause of dysphagia in children, adolescents, young adults and in the elderly. In these cases, vascular abnormalities commonly include aberrant right subclavian artery, left subclavian artery originating from the right aortic arch and, more rarely, from the right aortic arch with thoracic aorta on the left. Dysphagia, also known as “dysphagia lusoria”, is due to the compression of the esophagus caused by one or several congenital vascular abnormalities and can occur in childhood or later in adulthood. Upper gastrointestinal series show extrinsic compression of the esophagus and thoracic angiography (scanner or magnetic resonance imaging (MRI)) is used to confirm the diagnosis. In a few cases, surgical treatment is often required. We here report the case of a 30-year old female patient, with no previous medical or surgical history, presenting with dysphagia to solid foods of recent onset, without other associated symptom. Physical examination showed good general condition. The patient underwent upper gastrointestinal series revealing extrinsic esophageal compression, then chest X-ray and chest MRI showing right aortic arch with left descending aorta, without situs inversus. Finally, echocardiography was performed which excluded associated congenital heart disease. Outcome was marked by spontaneous regression of dysphagia. The African Field Epidemiology Network 2020-05-13 /pmc/articles/PMC7388619/ /pubmed/32774594 http://dx.doi.org/10.11604/pamj.2020.36.17.17206 Text en © David Douglas Banga Nkomo et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Images in Clinical Medicine Nkomo, David Douglas Banga Mafok, Louis Joss Bitang A La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
title | La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
title_full | La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
title_fullStr | La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
title_full_unstemmed | La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
title_short | La crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
title_sort | la crosse aortique droite avec aorte descendante gauche: une cause rare de dysphagie |
topic | Images in Clinical Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388619/ https://www.ncbi.nlm.nih.gov/pubmed/32774594 http://dx.doi.org/10.11604/pamj.2020.36.17.17206 |
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