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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Main Authors: Adam Millar, Alaa Rostom, Pasteur Rasuli, Nav Saloojee
Format: Article
Language:English
Published: Wiley 2007-01-01
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.
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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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