Dysphagia Lusoria: A Little Known Cause of Chest Pain

Dysphagia lusoria is a congenital abnormality characterized by an aberrant right subclavian artery. It often presents as either an incidental finding on imaging or chronic dysphagia. We describe the case of a 66-year-old female who presented with severe chest pain, worse with swallowing, along with...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-12, Vol.13 (12), p.e20085
Main Authors: Ahmed, Zaka, Udongwo, Ndausung, Albustani, Safa, Taj, Sobaan, Wiseman, Kyle, Alchalabi, Halah, Hossain, Mohammad A
Format: Article
Language:English
Subjects:
Aneurysms
Atherosclerosis
Barium
Blood pressure
Cardiac stress tests
Cardiology
Case reports
Congenital diseases
Coronary vessels
Dysphagia
Emergency Medicine
Esophagus
Gastroenterology
Laboratories
Ostomy
Pain
Patients
Pulmonary arteries
Tomography
Vascular surgery
Veins & arteries
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Description
Summary:Dysphagia lusoria is a congenital abnormality characterized by an aberrant right subclavian artery. It often presents as either an incidental finding on imaging or chronic dysphagia. We describe the case of a 66-year-old female who presented with severe chest pain, worse with swallowing, along with an ongoing globus sensation. She was found to have a negative cardiac workup for ischemia with a subsequent computed tomography angiogram (CTA) of the chest showing an abnormal right subclavian artery. We emphasize the unique diagnostic approach of this rare anatomical anomaly and its potential presentation that worsens with deglutition.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.20085