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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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Autores principales: Nkomo, David Douglas Banga, Mafok, Louis Joss Bitang A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
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.
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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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