case_images: PMC3879513_01
case_images: Barium esophagogram showing the compression of the esophagus (dotted red lines).
case_images: JCHIMP-3-22091-g001.jpg
case_images: PMC3879513_01_JCHIMP-3-22091-g001.jpg
case_images: F0001
case_images: 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).
case_images: Angiogram showing the aberrant right subclavian artery originating distal to the left subclavian artery, coursing toward the right upper extremity (red arrows).
case_images: JCHIMP-3-22091-g002.jpg
case_images: PMC3879513_01_JCHIMP-3-22091-g002.jpg
case_images: F0002
case_images: 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).
case_images: CT chest with contrast showing the origin of the aberrant right subclavian artery (red arrow) causing extrinsic compression of the esophagus.
case_images: JCHIMP-3-22091-g003.jpg
case_images: PMC3879513_01_JCHIMP-3-22091-g003.jpg
case_images: F0003
case_images: 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).