Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report

Authors

  • Pradeep R Regmi Department of Radiology, University Hospital of Ioannina, Ioannina, Greece
  • Isha Amatya Department of Community Medicine, Kathmandu Medical College, Duwakot, Bhaktapur, Nepal
  • Bipula Kafle Department of Radiology, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
  • Prakash Kayastha Department of Radiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
  • Sharma Paudel 4Department of Radiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jiom.v43i1.37472

Keywords:

Aortic arch, CT angiography, dysphagia, left subcalvian artery

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.

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Published

2021-04-30

How to Cite

Regmi, P. R., Amatya, I., Kafle, B., Kayastha, P., & Paudel, S. (2021). Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report. Journal of Institute of Medicine Nepal, 43(1), 47–49. https://doi.org/10.3126/jiom.v43i1.37472

Issue

Section

Case Reports