{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T20:56:49Z","timestamp":1714683409440},"reference-count":5,"publisher":"Royal College of Surgeons of England","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p> A 48-year-old woman was seen in a surgical outpatient clinic with a 2 year history of progressive dysphagia with occasional regurgitation, partially controlled with a proton pump inhibitor. Primary investigations of pH testing and gastroscopy were normal, although a barium swallow study revealed significant hold-up at the aortic arch impression and a posterior right-sided oesophageal impression suggestive of a right-sided aortic arch. A follow-up computed tomography angiogram discovered a vascular ring encircling the trachea and oesophagus, formed by a right-sided aortic arch with aberrant aortic branches, and a Kommerell\u2019s diverticulum. It was deemed that the patient\u2019s symptoms were related to this vascular ring. The patient underwent stage-one surgery \u2013 an extra-anatomic bypass of the double aortic arch and right subclavian artery \u2013 and 4 months later a stent graft insertion over the origin of the diverticulum with the aim of complete symptomatic relief. This case presents a common symptom familiar to any clinician (dysphagia), which has been caused by a rare pathology. It is even more unusual that this should present itself in adulthood. <\/jats:p>","DOI":"10.1308\/rcsann.2016.0232","type":"journal-article","created":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T15:38:03Z","timestamp":1471966683000},"page":"e3-e5","source":"Crossref","is-referenced-by-count":3,"title":["Vascular ring presenting as dysphagia in an adult woman: a case report"],"prefix":"10.1308","volume":"99","author":[{"given":"BL","family":"Powell","sequence":"first","affiliation":[{"name":"Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs060"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-004-1607-6"},{"issue":"3","key":"bib3","first-page":"411","volume":"32","author":"Hardin RE","year":"2005","journal-title":"Tex Heart Inst J"},{"issue":"11","key":"bib4","doi-asserted-by":"crossref","first-page":"1,077","DOI":"10.1177\/000313489906501116","volume":"65","author":"Grathwohl KW","year":"1999","journal-title":"Am J Surg"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.129130"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:24:37Z","timestamp":1684146277000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1308\/rcsann.2016.0232"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0232","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}