Publication: Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report
Files
Date
2021
Article Type
Case Report
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 47 - 49
Publisher
Institute of Medicine
Abstract
ABSTRACT
Congenital variations and anomalies of the aortic arch are important entity in vascular imaging. Most of them are asymptomatic. About 30-40% presents with tracheo-oesophageal symptoms like dyspnea and dysphagia. A 27 year-old female presented with persistent dysphagia for 6 months duration and cause of persistent dysphagia was the right sided aortic arch with aberrant left subcalvian artery from Kommerell’s diverticulum. The diagnosis was made through combination of chest X-Ray, echocardiography, non-ionic contrast swallow and Computed Tomography angiography. Non-invasive modalities (CT and MR Angiography) play an important role in diagnosis and pre-operative surgical planning providing relationship with the surrounding structures especially trachea and esophagus.
Keywords: Aortic arch, CT angiography, dysphagia, left subcalvian artery
Description
Pradeep R Regmi1,3, Isha Amatya2 , Bipula Kafle3, Prakash Kayastha4, Sharma Paudel4
1Department of Radiology, University Hospital of Ioannina, Ioannina, Greece
2Department of Community Medicine, Kathmandu Medical College, Duwakot, Bhaktapur, Nepal
3Department of Radiology, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
4Department of Radiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
Keywords
Aortic arch, CT angiography, dysphagia, left subcalvian artery