Unusual Pharyngo-Esophageal Dysphagia Caused by a High-Riding Right Brachiocephalic Artery
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
High-riding right brachiocephalic and subclavian arteries are often asymptomatic and rare vascular variations. We present a patient with high-riding right brachiocephalic and subclavian arteries that caused compressive pharyngeal and cervical esophageal dysphagia. An 82-year-old woman presented to our hospital with dysphagia that worsened with solid food. A pulsatile lump was observed on the right neck side. A videofluoroscopic swallowing study showed a deviated food bolus movement anterolaterally from the normal vertical pharyngoesophageal transition, with a filling defect in the lower pharynx through the upper esophagus. Neck computed tomography (CT) showed high-riding right brachiocephalic and subclavian arteries and a tortuous right common carotid artery located adjacent to the trachea in the cervical area. The cervical midline structures were deviated to the left neck side. A neck mass with vascular variation should be considered as a cause of dysphagia that worsens with solid food; CT should be considered to determine its cause.
Abstract
High-riding right brachiocephalic and subclavian arteries are often asymptomatic and rare vascular variations. We present a patient with high-riding right brachiocephalic and subclavian arteries that caused compressive pharyngeal and cervical esophageal dysphagia. An 82-year-old woman presented to our hospital with dysphagia that worsened with solid food. A pulsatile lump was observed on the right neck side. A videofluoroscopic swallowing study showed a deviated food bolus movement anterolaterally from the normal vertical pharyngoesophageal transition, with a filling defect in the lower pharynx through the upper esophagus. Neck computed tomography (CT) showed high-riding right brachiocephalic and subclavian arteries and a tortuous right common carotid artery located adjacent to the trachea in the cervical area. The cervical midline structures were deviated to the left neck side. A neck mass with vascular variation should be considered as a cause of dysphagia that worsens with solid food; CT should be considered to determine its cause.
참고문헌 (9)
- Groher ME, "The prevalence of swallowing disorders in two teaching hospitals", Dysphagia, 1, pp.3~6 (1986)
- Gupta V, "Stent-graft repair of a large cervical internal carotid artery pseudoaneurysm causing dysphagia", Cardiovasc Intervent Radiol, 32, pp.558~562 (2009)
- Gupta A, "Tortuous common carotid artery as a cause of dysphagia", J R Soc Med, 98, pp.275~276 (2005)
- Gamache FW Jr, "Hypertrophic cervical osteophytes causing dysphagia : a review", J Neurosurg, 53, pp.338~344 (1980)
- Bakheit AM, "Management of neurogenic dysphagia", Postgrad Med J, 77, pp.694~699 (2001)
- Carucci LR, "Dysphagia revisited : common and unusual causes", Radiographics, 35, pp.105~122 (2015)
- Upadhyaya PK, "Beware of the aberrant innominate artery", Ann Thorac Surg, 85, pp.653~654 (2008)
- Dua SG, "Incidental detection of high-riding innominate artery and bilateral retropharyngeal carotid arteries : radiological findings and clinical relevance", Clin Radiol, 66, pp.685~687 (2011)
- Chegar BE, "Bilateral vocal cord paralysis secondary to esophageal compression", Am J Otolaryngol, 25, pp.361~363 (2004)