Dysphagia lusoria: A vascular etiology?

Michael Coles, Victoria M. Madray, Chinmaya Mareddy, Deepak Kapoor, Amol Sharma

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Dysphagia lusoria is difficulty swallowing as a result of extrinsic esophageal compression by an aberrant right subclavian artery (ARSA). We present the case of a 59-year-old patient with ARSA and history of chronic dysphagia. Vascular decompressive surgery was performed, but it failed to resolve his symptoms. Esophageal manometry indicated concomitant esophageal gastric junction outflow obstruction in the setting of a small hiatal hernia. Our case highlights the diagnostic dilemma surrounding dysphagia lusoria and identification of cases that should undergo surgical repair. Based on a thorough review of the literature and our case, we propose a complete foregut workup for possible other causes as potential etiologies of dysphagia prior to surgical treatment of dysphagia lusoria.

Original languageEnglish (US)
Pages (from-to)1238-1239
Number of pages2
JournalJGH Open
Issue number6
StatePublished - Dec 2020


  • aberrant right subclavian artery
  • esophageal motility disorders
  • lower esophageal sphincter
  • manometry

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology


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