Dysphagia lusoria: A late onset presentation

Figure 1 Manometry study demonstrating a high pressure band in the lower oesophagus (at the 360 mm mark/36 cm) consistent with arterial pulsations. This pressure band does not manometrically cause obstruction with a clear relaxation across the region of interest during the swallow.

Figure 2 Barium oesophogram demonstrating the extrinsic impression on the oesophagus secondary to the aberrant left subclavian artery superiorly and right aortic arch distally.

Figure 3 Computed tomography chest demonstrating the right aortic arch and dilatation at the origin of the aberrant left subclavian artery (Komerrell’s diverticulum).