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©2019 All right reserved by the Turkish Society of Cardiovascular Surgery. Quintero-Pérez C, Manresa-Manresa F, Aragón-Ropero PP, Bataller de Juan E. Dysphagia lusoria caused by internal carotid artery elongation. Turk Gogus Kalp Dama 2019;27(2):257-258 Cite this article as: Dysphagia lusoria describes dysphagia due to vascular compression of the esophagus. Although aberrant right subclavian artery (ARSA) is the most common congenital anomaly with frequently retroesophageal course, herein, we describe another vascular cause. The prevalence of dysphagia lusoria in the general population is estimated at 0.4 to 0.7%.[1-2] A 66-year-old woman presented with a pulsatile mass in the right side of the neck and dysphagia and odynophagia to solids. Physical examination revealed a right cervical pulsatile mass without murmurs. Endoscopy showed a slight pulsatile bulge from the lateral wall of the right hypopharynx to the piriform sinus. Doppler ultrasonography of the supra-aortic trunks showed a dilatation of the right common carotid artery. Computed tomography angiography revealed elongation and tortuosity of the supra-aortic trunks (Figure 1) and retropharyngeal course of the right internal carotid artery (Figures 2 and 3), with a moderate imprint on the posterior wall of the retropharynx, findings that confirmed the symptomatology of the patient. A conservative treatment (hygienic-dietetic measures) was decided.