A rare case of a 29-year old woman with aberrant right subclavian arte
ry (A. lusoria) causing dysphagia is presented. This abnormality is ge
nerally silent and often an incidental x-ray finding. By means of a me
dian thoracotomy the anomalous vessel was divided at its point of orig
in and an anastomosis to the ascending aorta with a graft was performe
d.