Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature
An aberrant right subclavian artery (ARSA) is a common aortic arch abnormality. A case of a 57-year-old man presenting with melena and hypotension secondary to an ARSA-esophageal fistula is reported. The current report is unique because it is the first reported case of ARSA-esophageal fistula associ...
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Format: | Article |
Language: | English |
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Wiley
2007-01-01
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Series: | Canadian Journal of Gastroenterology |
Online Access: | http://dx.doi.org/10.1155/2007/398213 |
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author | Adam Millar Alaa Rostom Pasteur Rasuli Nav Saloojee |
author_facet | Adam Millar Alaa Rostom Pasteur Rasuli Nav Saloojee |
author_sort | Adam Millar |
collection | DOAJ |
description | An aberrant right subclavian artery (ARSA) is a common aortic arch abnormality. A case of a 57-year-old man presenting with melena and hypotension secondary to an ARSA-esophageal fistula is reported. The current report is unique because it is the first reported case of ARSA-esophageal fistula associated with prior esophagectomy and gastric pull-up. A MedLine search was performed for ARSA-esophageal fistula cases, which were then compared with the present case. Because this patient had no vascular conduits, nasogastric or endotracheal tubes, the fistula likely occurred secondary to the previous surgery. This case is unusual because the patient survived the original hemorrhage associated with the ARSA-esophageal fistula. |
format | Article |
id | doaj-art-afc2f0c8a47043d9ac08775158230a2f |
institution | Kabale University |
issn | 0835-7900 |
language | English |
publishDate | 2007-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Journal of Gastroenterology |
spelling | doaj-art-afc2f0c8a47043d9ac08775158230a2f2025-02-03T05:44:42ZengWileyCanadian Journal of Gastroenterology0835-79002007-01-0121638939210.1155/2007/398213Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the LiteratureAdam Millar0Alaa Rostom1Pasteur Rasuli2Nav Saloojee3Faculty of Medicine, University of Ottawa, CanadaDivision of Gastroenterology, The Ottawa Hospital, Ottawa, Ontario, CanadaDivision of Radiological Imaging, The Ottawa Hospital, Ottawa, Ontario, CanadaDivision of Gastroenterology, The Ottawa Hospital, Ottawa, Ontario, CanadaAn aberrant right subclavian artery (ARSA) is a common aortic arch abnormality. A case of a 57-year-old man presenting with melena and hypotension secondary to an ARSA-esophageal fistula is reported. The current report is unique because it is the first reported case of ARSA-esophageal fistula associated with prior esophagectomy and gastric pull-up. A MedLine search was performed for ARSA-esophageal fistula cases, which were then compared with the present case. Because this patient had no vascular conduits, nasogastric or endotracheal tubes, the fistula likely occurred secondary to the previous surgery. This case is unusual because the patient survived the original hemorrhage associated with the ARSA-esophageal fistula.http://dx.doi.org/10.1155/2007/398213 |
spellingShingle | Adam Millar Alaa Rostom Pasteur Rasuli Nav Saloojee Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature Canadian Journal of Gastroenterology |
title | Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature |
title_full | Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature |
title_fullStr | Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature |
title_full_unstemmed | Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature |
title_short | Upper Gastrointestinal Bleeding Secondary to an Aberrant Right Subclavian Artery-Esophageal Fistula: A Case Report and Review of the Literature |
title_sort | upper gastrointestinal bleeding secondary to an aberrant right subclavian artery esophageal fistula a case report and review of the literature |
url | http://dx.doi.org/10.1155/2007/398213 |
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