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Ann Thorac Surg 2001;71:710-712
© 2001 The Society of Thoracic Surgeons

Case report

Late-onset dysphagia lusoria

Cullen D. Morris, MDa, Kirk R. Kanter, MDa, Joseph I. Miller, Jr, MDa

a Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA

Accepted for publication March 27, 2000.

Address reprint requests to Dr Miller, Section of General Thoracic Surgery, Crawford Long Hospital, The Emory Clinic, 25 Prescott St, NE, Suite 3420, Atlanta, GA 30308
e-mail: tracy.starkey{at}surgery.eushc.org

Symptomatic vascular rings are uncommon in adults. We report a case of dysphagia in a 48-year-old woman from a right-sided aortic arch with aberrant left subclavian artery and left-sided ligamentum arteriosum. Through a left posterolateral thoracotomy, the ligamentum was divided, relieving the patient’s dysphagia. Twenty-three cases of adult-onset dysphagia lusoria attributable to this anatomy have been reported. We recommend a left thoracotomy with division of the ligamentum as treatment.




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