Dysphagia lusoria

Dysphagia lusoria (or Bayford-Autenrieth

Dysphagia lusoria
dysphagia) is an abnormal condition characterized by
difficulty in swallowing caused by an aberrant right
subclavian artery. It was discovered by David Bayford
in 1761 and first reported in a paper by the same in
1787.[1]

Pathophysiology
During development of aortic arch, if the proximal
portion of the right fourth arch disappears instead of
distal portion, the right subclavian artery will arise as
the last branch of aortic arch. It then courses behind the
esophagus (or rarely in front of esophagus, or even in
front of trachea) to supply blood to right arm. This
causes pressure on esophagus and results in dysphagia.
It can sometimes result in upper gastrointestinal tract
bleeding.[2] Investigation of choice - CT angiography

Treatment
The right subclavian artery is involved in this
Surgical repair is performed. Reconstruction or ligation condition
of aberrant right subclavian artery by sternotomy/by
neck approach.

Eponym
David Bayford called it dysphagia lusoria because in Latin, lusus naturæ means sports of nature, freak of
nature, or natural anomaly.[3] Bayford-Autenrieth dysphagia is eponym for Bayford and Autenrieth.

See also
Aberrant subclavian artery
Ortner's syndrome

References
1. Asherson N (January 1979). "David Bayford. His syndrome and sign of dysphagia lusoria"
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2494476). Ann R Coll Surg Engl. 61 (1): 63–
7. PMC 2494476 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2494476). PMID 369446 (h
ttps://pubmed.ncbi.nlm.nih.gov/369446).
2. Vehling-Kaiser, U. (1993). "Lusorian artery lesion as rare cause of severe upper
gastrointestinal tract bleeding". Digestive Diseases and Sciences. 38 (1): 178–180.
 doi:10.1007/BF01296793 (https://doi.org/10.1007%2FBF01296793).
3. Mahmodlou, Rahim; Sepehrvand, Nariman; Hatami, Sanaz (2014). "Aberrant Right
Subclavian Artery: A Life-threatening Anomaly that should be considered during
Esophagectomy" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4290042). Journal of
Surgical Technique and Case Report. 6 (2): 61–63. doi:10.4103/2006-8808.147262 (https://d
oi.org/10.4103%2F2006-8808.147262). PMC 4290042 (https://www.ncbi.nlm.nih.gov/pmc/ar
ticles/PMC4290042). PMID 25598945 (https://pubmed.ncbi.nlm.nih.gov/25598945).

External links

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