PMC3879513_01
Barium esophagogram showing the compression of the esophagus (dotted red lines).
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Helicobacter pylori, for which she received standard triple therapy. Her dysphagia was further evaluated with a barium swallow, which showed smooth extrinsic compression on the posterolateral aspect of the esophagus (Fig. 1).
Angiogram showing the aberrant right subclavian artery originating distal to the left subclavian artery, coursing toward the right upper extremity (red arrows).
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Due to the presence of extrinsic compression of the esophagus on the barium esophagogram, an aortogram was performed which showed an anomalous take-off of the right subclavian artery distal to the left subclavian artery (Fig. 2).
CT chest with contrast showing the origin of the aberrant right subclavian artery (red arrow) causing extrinsic compression of the esophagus.
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In pursuing the workup of her chest pain, a computerized tomography (CT) angiogram was performed which confirmed the anomalous right subclavian artery coursing posteriorly resulting in smooth extrinsic compression of the esophagus (Fig. 3).