An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature

Autor:	Pavithra C. Subramanian, Naveen Chidanandaswamy, Raghuraman Soundararajan, Harish Bhujade, Nidhi Prabhakar
Jazyk:	angličtina
Rok vydání:	2023
Předmět:	arsa aberrant right subclavian artery esophageal bleeding nasogastric tube Medical physics. Medical radiology. Nuclear medicine R895-920
Zdroj:	Indian Journal of Radiology and Imaging, Vol 33, Iss 01, Pp 117-120 (2023)
Druh dokumentu:	article
ISSN:	0971-3026 1998-3808 0042-1758
DOI:	10.1055/s-0042-1758194
Popis:	An aberrant right subclavian artery (ARSA), also called as arteria lusoria, is one of the most common aortic arch anomalies. ARSA–esophageal fistula is a rare, life-threatening complication, with only 37 cases reported in literature. We describe a case of a young girl who developed acute episode of massive hematemesis after the recovery from novel coronavirus disease 2019 (COVID-19) pneumonia. Computed tomography (CT) angiography showed ARSA with retroesophageal course and active contrast leak in esophagus. Digital subtraction angiography confirmed the site of active contrast extravasation from the ARSA. However, the patient succumbed to hypovolemic shock even before the endovascular or surgical interventions could be done.
Databáze:	Directory of Open Access Journals
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