J Pediatr Health Care. 2023 Nov-Dec;37(6):702-705. doi: 10.1016/j.pedhc.2023.07.001. Epub 2023 Jul 28.
The aberrant right subclavian artery (i.e., arteria lusoria) arising from the left part of the aortic arch is a rare congenital anomaly. In some patients, esophageal compression may cause symptoms of dysphagia, also called dysphagia lusoria. It can cause serious feeding disorders and poor weight gain in young children. We present the case of an early onset of dysphagia lusoria in a 1-month-old girl whose clinical diagnosis was confirmed by esophagography and magnetic resonance imaging. This kind of vascular anomaly can present a diagnostic challenge and should be considered in diagnosing dysphagia in childhood.
异常右锁骨下动脉(即左位主动脉弓)起源于主动脉弓的左侧,是一种罕见的先天性异常。在一些患者中,食管受压可能导致吞咽困难的症状,也称为吞咽困难性 Lusoria。它可导致幼儿严重的喂养障碍和体重增长不良。我们报告了一例 1 个月大的女孩出现 Lusoria 吞咽困难的早期病例,其临床诊断通过食管造影和磁共振成像得到证实。这种血管异常可能具有诊断挑战性,在诊断儿童吞咽困难时应考虑到这一点。