Hello @pinkcarmen
I think it is important to have some more studies done. ARSA is rare to find but actually more common just not usually diagnosed. Not everyone has an ARSA that rings or affects the esophagus- majority of them I think are like mine simply in the wrong place but work fine and have to impediment on other structures- which leads normal cardiologist to brush them off sometimes. Reach out to major cardiology centers- if you’re not happy with Mayo try Cleveland Clinic. I got my second opinion from them- they also deal with less common cardiology issues more often. Don’t give up- you are your best advocate and know your body best- and you will find a medical team you feel comfortable and secure with- unfortunately it may take to searching though.

Jeane