Discussions By Condition: I cannot get a diagnosis.

Aberrant right subclavian artery

Posted In: I cannot get a diagnosis. 8 Replies
  • Posted By: Foley70
  • August 20, 2009
  • 05:15 PM

Hi All, I had a CT of my neck because of what they thought was a stone in my submandibular gland turns out its two enlarged lymph nodes. However when doing the CT it says on the report the above issue. Doing allot of research online this sounds serious. I have been having moderate difficulty swallowing and a swollen tongue as well as strange symptoms like feeling hot internally like I have to dab myself with cold clothes to feel better and takes some time to go away. I'm getting NO phone call back from my doctor and I spent all night looking at this on the internet and need advise on this issue from anyone.....What do people think I googled the title and doesn't sound good. The lymph nodes they said they would check in 3 weeks and the other issue they said an ENT wouldn't address!! Help just need some advise!!
:confused:

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8 Replies:

  • Are you having any other symptoms like night sweats, skin problems like constant itching or pain?
    tielledirge 20 Replies
    • August 20, 2009
    • 05:57 PM
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  • Are you having any other symptoms like night sweats, skin problems like constant itching or pain? I have excema {skin condition so I itch anyway} and a thyriod condition and high cholesterol so I always associated these symptoms with those conditions. I wake up feeling hot internally like it feels like I have a fever but on the inside hard to explain. I have trouble swallowing at times feels like clogged throat they said I was vitamin D deficient recently and that my thyriod level is out of control. I do have occasional strange feelings related to my heart but just pass them off now I'm not so sure I should have. Someone I know thinks I could have been mis-diagnosised with the hypothyriodism and could have had this condition all along. Called DR. again still to busy to talk about it might have to wait until later or tomorrow they said she hasn't even seen the report.
    Foley70 3 Replies
    • August 20, 2009
    • 06:31 PM
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  • I am pretty sure by now you have resolved this but for those doing a search I will answer. I have these symptoms: difficulty swallowing, hoarseness, feeling of pressure on my throat, chest pressure, heart burn, and gas with bloating.I was diagnosed with GERD by my ENT, and sent for a barium swallow to make sure there was nothing seriously wrong with my digestive tract. The following week I went in for my follow up, and my doctor let me know it appeared I had an aberrant right subclavian artery and future testing was needed to be sure. BTW It usually causes no symptoms and is often discovered as an incidental finding (such as through a barium swallow or echocardiogram). I had a CT scan this week. Results next week. Since no one has called asking me to come in right away I can rest assured nothing really bad was found. How can I know that? Well, the radiologist will mark test results that need attention promptly, so the doctor can contact you ASAP. So try not to panic if your doctor doesn't seem in a hurry to get you back in. If there are any bad reports they will be marked so he or she can get you in right away. Aberrant subclavian artery is a rare vascular anomaly that is present from birth. Occasionally the anomaly causes swallowing difficulty (dysphagia lusoria). Swallowing symptoms in children may present as feeding difficulty and/or recurrent respiratory tract infection.When aberrant subclavian artery causes no symptoms, treatment is not needed. If the anomaly is causing significant symptoms, treatment may involve surgery. Children with symptomatic aberrant subclavian artery should be carefully evaluated for additional vascular and heart anomalies.Your ENT will undoubtedly refer you to another doctor if you do indeed have an aberrant subclavian artery. As I said NO treatment is needed if you are not experiencing any symptoms. Even with symptoms most doctors advise a "live with it" approach since repair is a major surgery. Of those surgeries done most appear from my research to be done on infants . I hope this will be of some help and comfort to someone else looking for some hard to find answers on this. Hilda
    fourxlucky 3 Replies
    • January 7, 2012
    • 09:16 AM
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  • Hilda,What did they say about your CT scan? I'm glad I finally found someone who also has ARSA ( aberrant right subclavical artery). Started in mid January I started having chest pains and severe bloating. I was sent to a GI who did an upper endoscopy but didn't find anything except a little gastritis and reflux. I was sent for a CT scan to check for blood clots and they discovered I have an ARSA. I have read that this is usually of no clinical significance but I'm still having chest pain and frequent heartburn. I see my GI again in a few weeks, am trying to tough out the heartburn and chest pain till then. I'm also having a hida scan done to check my galbladder. I'm scared about my aberrant artery and worried I will have to have surgery. -j-
    Missj23 3 Replies
    • February 20, 2012
    • 07:02 AM
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  • Hilda what did your ct results say.
    Missj23 3 Replies
    • February 20, 2012
    • 07:06 AM
    • 0
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  • I am pretty sure by now you have resolved this but for those doing a search I will answer. I have these symptoms: difficulty swallowing, hoarseness, feeling of pressure on my throat, chest pressure, heart burn, and gas with bloating.I was diagnosed with GERD by my ENT, and sent for a barium swallow to make sure there was nothing seriously wrong with my digestive tract. The following week I went in for my follow up, and my doctor let me know it appeared I had an aberrant right subclavian artery and future testing was needed to be sure. BTW It usually causes no symptoms and is often discovered as an incidental finding (such as through a barium swallow or echocardiogram). I had a CT scan this week. Results next week. Since no one has called asking me to come in right away I can rest assured nothing really bad was found. How can I know that? Well, the radiologist will mark test results that need attention promptly, so the doctor can contact you ASAP. So try not to panic if your doctor doesn't seem in a hurry to get you back in. If there are any bad reports they will be marked so he or she can get you in right away. Aberrant subclavian artery is a rare vascular anomaly that is present from birth. Occasionally the anomaly causes swallowing difficulty (dysphagia lusoria). Swallowing symptoms in children may present as feeding difficulty and/or recurrent respiratory tract infection.When aberrant subclavian artery causes no symptoms, treatment is not needed. If the anomaly is causing significant symptoms, treatment may involve surgery. Children with symptomatic aberrant subclavian artery should be carefully evaluated for additional vascular and heart anomalies.Your ENT will undoubtedly refer you to another doctor if you do indeed have an aberrant subclavian artery. As I said NO treatment is needed if you are not experiencing any symptoms. Even with symptoms most doctors advise a "live with it" approach since repair is a major surgery. Of those surgeries done most appear from my research to be done on infants . I hope this will be of some help and comfort to someone else looking for some hard to find answers on this. Hilda What did you find out on your CT results? I also have an aberrant right subclavian artery that was mistakenly found on a CT scan in the emergency room. I was having severe chest pain. The ER doctor said this is usually no clinical significance but am wondering if that is what is causing my pain.Jemma
    Missj23 3 Replies
    • February 21, 2012
    • 11:26 PM
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  • Hi Missj23. Sorry to hear about your health problems, I know how scary it all is. I am sure they will get it sorted out for you. It just takes time and a lot of patience on our part. I am not good at the waiting game though. lolMy CT scan confirmed the diagnosis of ARSA. However, since I have no ballooning no treatment is needed. Of those who do need treatment the majority are small children/infants. I followed up with a cardiologist at my GP’s suggestion. I had gotten an EKG some months prior to all of this that was completely normal btw. My GP is very much into preventive medicine and since I am diabetic had the EKG done as a base line test. I am glad now she did. The cardiologist confirmed the diagnosis and that no immediate health threats are present. As a precaution, he will do a sonogram in three months to make sure everything is still good & the erosion is all healed up. He also confirmed that stress was very likely a contributing factor in my chest pain, but that the throat erosion and GERD where the main cause. Any news yet on your situation?
    fourxlucky 3 Replies
    • February 24, 2012
    • 08:31 PM
    • 0
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  • Hi again Missj23 & Jenna. Just a thought on your current symptoms...... Could be related to your gallbladder. I had my gallbladder removed years ago. I was only 24 at the time and the doctors where surprised by the diagnosis. I had sever chest pain, and pain in my right upper abdomen that radiated to my back , with pain also under my right shoulder blade & shoulder and lots of bloating and heart burn. It was miserable. I was pregnant when the symptoms started and became pregnant again soon after I had my son, so it was a very long two years until I had surgery. Just wanted you to know there are many things that cause these symptoms. In the mean time if your GI doctor has not done so already I suggest you start on Prilosec (Omeprazole) I was prescribed 40mg once a day and it takes approximately 8-10 weeks for things to heal. You should have no problem getting a script for it from your GI. It is also available OTC at a lower dosage. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000936/Hilda
    fourxlucky 3 Replies
    • February 24, 2012
    • 08:44 PM
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