Abstract：
Dysphagia lusoria is a rare pediatric condition caused by extrinsic compression of the esophagus by an abnormal subclavian artery. The most common congenital abnormality in aortic arch development is an aberrant right subclavian artery. The retroesophageal right subclavian artery is typically symptomatic in 10-33% of cases. The patient, an 8-month-old girl with a history of early dysphagia and stridor, was diagnosed with an abnormal right subclavian artery. She was admitted to the pneumology service multiple times due to stridor, vomiting, and failure to thrive. During hospitalization at the gastroenterology service, a barium swallow and an upper digestive endoscopy indicated an abnormal right subclavian artery, which was confirmed by an Angiography CT scan. She underwent surgery at the age of sixteen months. All symptoms are resolved following surgical intervention, and the patient is still asymptomatic and in good clinical condition 12 months later. Every physician should be aware of abnormal right subclavian arteries and their clinical symptoms in children and adults in order to recognize and diagnose them early. Only an early evaluation may reduce complications such as delayed physical growth, dysphagia, and recurrent respiratory infections.
摘要：
吞咽困难是一种罕见的儿科疾病，由异常的锁骨下动脉对食道的外源性压迫引起。主动脉弓发育中最常见的先天性异常是右锁骨下动脉异常。在10-33％的病例中，食管后右锁骨下动脉通常有症状。病人,一个有早期吞咽困难和喘鸣病史的8个月大女孩，被诊断出右锁骨下动脉异常.由于喘鸣，她多次进入肺炎服务，呕吐,未能茁壮成长。在消化内科住院期间，钡吞咽和上消化道内镜显示右锁骨下动脉异常，血管造影CT扫描证实了这一点。她在16个月大的时候接受了手术。手术干预后所有症状都得到缓解，12个月后，患者仍然无症状，临床状况良好。每个医生都应了解儿童和成人右锁骨下动脉异常及其临床症状，以便早期识别和诊断。只有早期评估才能减少并发症，如身体发育迟缓，吞咽困难,和反复呼吸道感染。
