Anomalous Right Subclavian Artery-Esophageal Fistulae
| Autor: | Michael J. Rohrer, Courtney B. Shires |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Aortic arch
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment Fistula Laryngoscopy Case Report 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Bronchoscopy medicine.artery medicine cardiovascular diseases Esophagus Subclavian artery Surgical repair medicine.diagnostic_test business.industry General Engineering medicine.disease Surgery medicine.anatomical_structure surgical procedures operative Median sternotomy lcsh:RC666-701 cardiovascular system business |
| Zdroj: | Case Reports in Vascular Medicine, Vol 2018 (2018) Case Reports in Vascular Medicine |
| ISSN: | 2090-6994 2090-6986 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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