TY - JOUR AU - Regmi, Pradeep R AU - Amatya, Isha AU - Kafle, Bipula AU - Kayastha, Prakash AU - Paudel, Sharma PY - 2021/04/30 Y2 - 2024/03/29 TI - Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report JF - Journal of Institute of Medicine Nepal JA - Journal of Institute of Medicine VL - 43 IS - 1 SE - Case Reports DO - UR - https://nepjol.info/index.php/JIOM/article/view/37472 SP - 47-49 AB - <p>Congenital variations and anomalies of the aortic arch are important entity in vascular imaging. Most of them are asymptomatic. About 30-40% presents with tracheo-oesophageal symptoms like dyspnea and dysphagia. A 27 year-old female presented with persistent dysphagia for 6 months duration and cause of persistent dysphagia was the right sided aortic arch with aberrant left subcalvian artery from Kommerell’s diverticulum. The diagnosis was made through combination of chest X-Ray, echocardiography, non-ionic contrast swallow and Computed Tomography angiography. Non-invasive modalities (CT and MR Angiography) play an important role in diagnosis and pre-operative surgical planning providing relationship with the surrounding structures especially trachea and esophagus.</p> ER -