Caught in a vice

Vipin Dulam; Suresh Keshavamurthy; Maruti Kumaran; Partha Hota; Carlos Gutierrez; Mohammed Abul Kashem; Yoshiya Toyoda

doi:10.1007/s12055-022-01348-9

Caught in a vice

Vipin Dulam, Suresh Keshavamurthy, Maruti Kumaran, Partha Hota, Carlos Gutierrez, Mohammed Abul Kashem, Yoshiya Toyoda

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Esophageal dysmotility and dysphagia are well known in patients with scleroderma. Interstitial lung disease (ILD) in these patients is an indication for lung transplantation but is considered high risk in many centers. This report is an attempt to highlight how anatomical causes can contribute to dysphagia in such patients and complicate the post-operative course after lung transplantation. Such a finding is uncommon in this subset of patients and use of suitable imaging can help in arriving at the diagnosis. We present a patient following lung transplantation for scleroderma related ILD with an aberrant right subclavian artery compressing the esophagus in a vice like grip. Imaging is the key to prompt diagnosis and management.

Original language	English
Pages (from-to)	438-441
Number of pages	4
Journal	Indian Journal of Thoracic and Cardiovascular Surgery
Volume	38
Issue number	4
DOIs	https://doi.org/10.1007/s12055-022-01348-9
State	Published - Jul 2022

Bibliographical note

Publisher Copyright:
© 2022, Indian Association of Cardiovascular-Thoracic Surgeons.

Keywords

Aberrant right subclavian artery
Esophageal compression
Feeding difficulties
Lung transplantation

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1007/s12055-022-01348-9

Cite this

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title = "Caught in a vice",

abstract = "Esophageal dysmotility and dysphagia are well known in patients with scleroderma. Interstitial lung disease (ILD) in these patients is an indication for lung transplantation but is considered high risk in many centers. This report is an attempt to highlight how anatomical causes can contribute to dysphagia in such patients and complicate the post-operative course after lung transplantation. Such a finding is uncommon in this subset of patients and use of suitable imaging can help in arriving at the diagnosis. We present a patient following lung transplantation for scleroderma related ILD with an aberrant right subclavian artery compressing the esophagus in a vice like grip. Imaging is the key to prompt diagnosis and management.",

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AU - Dulam, Vipin

AU - Keshavamurthy, Suresh

AU - Kumaran, Maruti

AU - Hota, Partha

AU - Gutierrez, Carlos

AU - Kashem, Mohammed Abul

AU - Toyoda, Yoshiya

PY - 2022/7

Y1 - 2022/7

N2 - Esophageal dysmotility and dysphagia are well known in patients with scleroderma. Interstitial lung disease (ILD) in these patients is an indication for lung transplantation but is considered high risk in many centers. This report is an attempt to highlight how anatomical causes can contribute to dysphagia in such patients and complicate the post-operative course after lung transplantation. Such a finding is uncommon in this subset of patients and use of suitable imaging can help in arriving at the diagnosis. We present a patient following lung transplantation for scleroderma related ILD with an aberrant right subclavian artery compressing the esophagus in a vice like grip. Imaging is the key to prompt diagnosis and management.

AB - Esophageal dysmotility and dysphagia are well known in patients with scleroderma. Interstitial lung disease (ILD) in these patients is an indication for lung transplantation but is considered high risk in many centers. This report is an attempt to highlight how anatomical causes can contribute to dysphagia in such patients and complicate the post-operative course after lung transplantation. Such a finding is uncommon in this subset of patients and use of suitable imaging can help in arriving at the diagnosis. We present a patient following lung transplantation for scleroderma related ILD with an aberrant right subclavian artery compressing the esophagus in a vice like grip. Imaging is the key to prompt diagnosis and management.

KW - Aberrant right subclavian artery

KW - Esophageal compression

KW - Feeding difficulties

KW - Lung transplantation

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Caught in a vice

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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