Survival after aberrant right subclavian artery-esophageal fistula: Case report and literature review

R. G. Miller, D. K. Robie, S. L. Davis, D. A. Cooley, W. J. Klish, M. D. Skolkin, D. L. Kearney, T. Jaksic

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30 Scopus citations

Abstract

Development of a fistula between an aberrant right subclavian artery and the esophagus is a rare cause of heretofore fatal hematemesis. We report the first known survivor of this devastating complication of the most common aortic arch anomaly. Intraoperative esophagogastroduodenoscopy, intraesophageal balloon tamponade, and arteriography were the keys to successful management. This lesion should be suspected in the setting of bright red, 'arterial' hematemesis. Prolonged nasogastric and/or endotracheal intubation should be avoided in patients with a known aberrant right subclavian artery or other aortic arch anomaly.

Original languageEnglish (US)
Pages (from-to)271-275
Number of pages5
JournalJournal of Vascular Surgery
Volume24
Issue number2
Publication statusPublished - 1996

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Miller, R. G., Robie, D. K., Davis, S. L., Cooley, D. A., Klish, W. J., Skolkin, M. D., ... Jaksic, T. (1996). Survival after aberrant right subclavian artery-esophageal fistula: Case report and literature review. Journal of Vascular Surgery, 24(2), 271-275.