Coarctation of aorta with aberrant right subclavian artery presenting as Dysphagia lusoria and the impact of Bicuspid Aortic valve

The coexistence of coarctation of aorta (CoA), Bicuspid aortic valve (BAV), severe aortic stenosis and aberrant subclavian artery is rare. The clinical significance of a bicuspid valve in patients with coarctation is not well established. The aberrant right subclavian artery with a retroesophageal course is the cause of dysphagia lusoria. The clinical examination of both upper and lower limb pulses is important at any age. The lesions are intimately related and the management is a real surgical challenge