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August 8, 1966

A Rare Cause of DysphagiaAnomalous Left Pulmonary Artery

JAMA. 1966;197(6):513-514. doi:10.1001/jama.1966.03110060187035

THE ETIOLOGY of dysphagia is varied and generally categorized as to the patient's age. During neonatal life and childhood, congenital malformations, corrosive esophagitis, foreign bodies, and achalasia are the more common causes. In the adult and elderly, neoplasms, hiatal hernias, diverticula, esophagitis, and cardiospasm are the major factors in dysphagia, with carcinoma being most prominent. This case report is thought to be quite unique since the main cause for the dysphagia was a malformation of the left pulmonary artery. A malformation such as this is apparently rare. No previous reports in an adult were found in the literature although three cases have been reported in infants. Welsh and Munro,1 in 1954; Potts et al,2 in 1954; and Morse and Gladding,3 in 1955, presented three separate case reports of infants with symptoms of obstruction of the right main bronchus. Even though this vascular malformation is extremely uncommon, it