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Barium Swallow and Computed Tomography Angiographic Diagnosis of Descending Thoracic Aortic Diverticulum in Right-sided Aortic Arch: Rare Cause of Dysphagia

Year: 2026

Type: article

Abstract: ABSTRACT: Descending thoracic aortic diverticulum associated with right-sided aortic arch is a very rare etiology of dysphagia. This report presents the case of a 42-year-old male who came with worsening dysphagia to solids, where barium swallow revealed smooth posterior esophageal indentation, and computed tomography (CT) angiography demonstrated Edwards Type I mirror-image branching with a descending aortic diverticulum indenting the esophagus. This case served to emphasise the value of vascular anomalies being considered as a reason for unexplained dysphagia. Barium swallow and CT angiography gave complementary functional and anatomic assessment, facilitating accurate diagnosis and management planning of unusual aortic diverticula.

Source: Annals of African Medicine

DOI: 10.4103/aam.aam_729_25

Authors: Reva Gupta, Divya Dagaji Jadhav, Shubham Mehta

Institution: Dr. D. Y. Patil Medical College, Hospital and Research Centre

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W7151379231

FWCI:

Cites: 8

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