Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy
The aim of this article was the evaluation of the quality of life of pa tient during long term follow up after the dissection of the descending thoracic aorta and angiosurgical related complications. A 31-year-old hypertensive female patient was admitted with a chest and epigastrium pain, with a 20 months history of asymptomatic DeBekey type III thoracic aortic dissection following CT scanning. A badly conducted Angio-Tomographic examination (Angio-CT) did not reveal the anatomical pathology of branching within the right aorta. The implantation of a stentgraft resulted in the closing of both subclavian arteries, and a iatrogenic brain stroke resulted as a consequence. Successful revascularisation of the right subclavian artery resulted in the disappearance of the neurological symptoms. Badly conducted and incorrectly interpreted diagnostic examinations may result in improper treatment resulting in complications as happened in the case of the patient described by us. A close observation of each patient after the performed surgery is, therefore, of the highest importance in order to be able to perform any necessary repair procedures. A long lasting illness of dissection of the thoracic aorta resulted in long, deep rooted stress, connected with a high degree of anxiety which led to a further decrease in the patient ́s quality of life. Successful secondary repair surgery reduced the stress symptoms and increased her quality of life.