Disfagia lusoria en adultos, un reto de la cirugía cardiovascular

La arteria subclavia derecha aberrante constituye una variedad anatomica frecuente dentro de los anillos vasculares. Se presenta un paciente de 44 anos de edad y 48 Kg de peso, con perdida de peso y disfagia. Se observo en el esofagograma con bario el estrechamiento de la luz esofagica en la pared posterior, ademas en la angiografia y el angiotac se evidencio la presencia de esta anomalia. Se realizo cirugia por esternotomia parcial, se diseco la arteria subclavia derecha aberrante y se secciono cerca de su origen, el cabo distal se suturo y el proximal se anastomoso a la carotida derecha con sutura de polipropileno 5/0 terminolateral. Tuvo un posoperatorio sin contratiempos y la estancia en el hospital de 5 dias. Evoluciono sin alteraciones a los seis meses de evolucion. Normal 0 21 false false false ES X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";} The right aberrant subclavian artery constituted a frequent form of vascular rings. This is a case of a 44 year old male patient and 48 Kg of body weight with personal history of failure to thrive. A posterior narrowing of the esophagus lumen was noted in the barium meal and the CT scan confirmed the presence of the disease. A partial sternotomy was made, the aberrant artery was dissected and sectioned nearby his origin, the distal stump was closed and the proximal one was anastomosed to the lateral aspect of the right carotid artery. There was no operative or late morbidity or death . Remains free of complications 6 months after surgery. Normal 0 21 false false false ES X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";} Normal 0 21 false false false ES X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";}