Anomalous Right Subclavian Artery-Esophageal Fistulae
An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy,...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/7541904 |
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| _version_ | 1832545760493699072 |
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| author | Courtney Brooke Shires Michael J. Rohrer |
| author_facet | Courtney Brooke Shires Michael J. Rohrer |
| author_sort | Courtney Brooke Shires |
| collection | DOAJ |
| description | An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus. Given the technical challenge of approaches for this pathology, the patient was unfit for open surgical repair. Therefore, endovascular covered stent grafts were deployed spanning the segment of the subclavian artery in continuity with the esophagus, via a right brachial artery approach. Unfortunately, the patient died after successful placement of the grafts. |
| format | Article |
| id | doaj-art-0915bc067021493893c830d945ef883e |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-0915bc067021493893c830d945ef883e2025-02-03T07:24:43ZengWileyCase Reports in Vascular Medicine2090-69862090-69942018-01-01201810.1155/2018/75419047541904Anomalous Right Subclavian Artery-Esophageal FistulaeCourtney Brooke Shires0Michael J. Rohrer1Department of Otolaryngology, Head and Neck Surgery, University of Tennessee Health Science Center, 910 Madison Ave., Suite 430, Memphis, TN 38163, USADepartment of Surgery, Division of Vascular and Endovascular Surgery, University of Tennessee Health Science Center, 910 Madison Ave., Second Floor, Memphis, TN 38163, USAAn aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus. Given the technical challenge of approaches for this pathology, the patient was unfit for open surgical repair. Therefore, endovascular covered stent grafts were deployed spanning the segment of the subclavian artery in continuity with the esophagus, via a right brachial artery approach. Unfortunately, the patient died after successful placement of the grafts.http://dx.doi.org/10.1155/2018/7541904 |
| spellingShingle | Courtney Brooke Shires Michael J. Rohrer Anomalous Right Subclavian Artery-Esophageal Fistulae Case Reports in Vascular Medicine |
| title | Anomalous Right Subclavian Artery-Esophageal Fistulae |
| title_full | Anomalous Right Subclavian Artery-Esophageal Fistulae |
| title_fullStr | Anomalous Right Subclavian Artery-Esophageal Fistulae |
| title_full_unstemmed | Anomalous Right Subclavian Artery-Esophageal Fistulae |
| title_short | Anomalous Right Subclavian Artery-Esophageal Fistulae |
| title_sort | anomalous right subclavian artery esophageal fistulae |
| url | http://dx.doi.org/10.1155/2018/7541904 |
| work_keys_str_mv | AT courtneybrookeshires anomalousrightsubclavianarteryesophagealfistulae AT michaeljrohrer anomalousrightsubclavianarteryesophagealfistulae |