AI Summary & Key Takeaways
AI InsightWith this in mind, ARSA should be included in the differential diagnosis of patients presenting with dysphagia, despite it being a rarely seen etiology.
📌 3 Key Takeaways
Abstract
Aberrant right subclavian artery (ARSA) is a rarely seen congenital and often asymptomatic anomaly. The most common clinical presenting symptom in adult ARSA patients is dysphagia, while patients may rarely present with respiratory complaints. We present here the case of a 79-year-old patient with dysphagia who was diagnosed based on thorax and neck CT and esophagography findings. The patient was treated for pneumonia in the centers to which she applied with complaints of cough and inability to swallow, and was subsequently referred to us with the suspicion of a mediastinal mass after radiograms were obtained. The diagnosis of ARSA was made based on contrast-enhanced computed tomography. With this in mind, ARSA should be included in the differential diagnosis of patients presenting with dysphagia, despite it being a rarely seen etiology.
Özet
Aberran sağ subklavyen arter (ASSA) konjenital bir anomali olup, sıklıkla asemptomatik seyreden ve nadir görülen bir anomalidir. Erişkin ASSA’lı hastalarda en sık klinik başvuru semptomu disfaji olup nadirde olsa solunum yakınmaları ile de başvurabilirler. Yutma güçlüğü ile başvuran 79 yaşındaki bir hasta çekilen toraks ve boyun BT, özofagografi ile tanı konularak sunulmuştur. Hasta yutkunamama ve öksürük şikayeti ile başvurduğu merkezlerde pnömoni tedavisi görmüş, çekilen grafiler sonrası mediastinal kitle şüphesiyle sevk edilen hastaya kontrastlı bilgisayarlı tomografi ile ASSA tanısı konulmuştur. Sonuç olarak yutma güçlüğü ile başvuran hastalarda ASSA buna neden olan nadir bir sebepte olsa ayırıcı tanıda yer almalıdır.