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Surgical treatment of esophagus compression by aortic arch anomaly: case report

Ivo Richter; Hélio Pereira Magalhães; Luiz Miguel Cortez; Douglas Gonçalves; Marli Gonçalves

DOI: 10.1590/S0102-76381991000200009


An adult patient presenting a congenital vascular anomaly of the aortic arch and ring formation, surrounding trachea and esophagus, by compression of the latest was complaining of progressive dysphagia. A surgical approach was performed by right lateral thoracotomy with ressection of the Kommerell diverticulum, section of the arterious ligament and single ligation of the subclavian artery which was followed by total regression of the symptoms. No subclavian steal syndrome or ischemia was observed on the left upper limb. The authors discuss the manner of approach and surgical treatment of this rare anomaly.


Paciente adulta, portadora de anomalia vascular congênita do arco aórtico com formação de anel envolvendo traqueia e esôfago, com compressão deste e conseqüente disfagia progressiva. A abordagem cirúrgica foi realizada por toracotomia lateral direita, com ressecção do divertrículo de Kommerell, secção do ligamento arterioso e ligadura simples da artéria subclávia, com regressão total dos sintomas. Não foi observada síndrome de roubo da subclávia ou isquemia do membro superior esquerdo. Os autores discutem o tipo de abordagem e cirurgia para tratamento desta rara anomalia.
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1. BERENZWEIG, H.; BAUE. A. E.; McCALLUM, R. W. - Dysphagia Lusoria: report of a case and review of the diagnostic and surgical approach. Digest. Dis. Sci., 25: 630, 636, 1980.

2. BINET, J. P. & LANGLOSIS. J. - Aortic arch anomalies in children and infants. J. Thorac. Cardiovas. Surg., 73: 248-252, 1977.

3. EDUARDO, A.; MEHDI, H.; JACK, H. H.; ZIA. Q. F.; EDWARD, W. G. - Surgical management of congenital vascular ring. J. Thorac. Cardiovasc. Surg., 77: 721-727, 1979. [MedLine]

4. EDWARDS, J. E. - Anomalies of the derivatives of aortic arch system. Med. Clin. N. Am., 32: 925-947, 1948.

5. GODTFREDSEN, J.; WENNEVOLD. F. E. ; LAURIDSEN, P. - Natural history of vascular ring with clinical manifestations. Scand. J. Thorac. Cardiovasc. Surg., 11: 75-77, 1977. [MedLine]

6. HALLMAN, G. L. & COOLEY, D. A. - Congenital vascular ring: surgical considerations. Arch. Surg., 88: 666-675, 1964.

7. HARRY, S. - A new operation for symptomatic aberrant right subclavian artery in the adult, (dysphagia lusoria). J. Thorac. Cardiovasc. Surg., 57: 269-272, 1969. [MedLine]

8. JUNG, J. Y.; CARL, H. A.; SALIM, B. S.; LABABIDI, Z. - Surgical repair of right aortic arch with aberrant left subclavian artery and left ligamentum arteriosuns. J. Thorac. Cardiovasc. Surg., 75: 237-243, 1978. [MedLine]

9. KOMMERELL, B. - Verlagerung des Oesophagus durch eine abnorm Verlaufende Arteria subclavia dextra (Arteria lusoria). Fortschr. Geb. Rontgenstr., 54: 590-595, 1936.

10. LEE, D. R.; LOUIS, D. L.; WILLIAM, M. K.; MONOUCHER, F. - Aortic arch anamalies in adult disorders of deglutition. Ann. Otol., 87: 498-508, 1978.

11. WONG, P. H. C. & LEE, J. N. T. - Right aortic arch Kommerell's diverticulum. Thorax, 38: 553-555, 1983. [MedLine]

Article receive on Tuesday, May 14, 1991

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