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

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...

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Autores principales: Subramanian, Pavithra C., Chidanandaswamy, Naveen, Soundararajan, Raghuraman, Bhujade, Harish, Prabhakar, Nidhi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968551/
https://www.ncbi.nlm.nih.gov/pubmed/36855716
http://dx.doi.org/10.1055/s-0042-1758194
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author Subramanian, Pavithra C.
Chidanandaswamy, Naveen
Soundararajan, Raghuraman
Bhujade, Harish
Prabhakar, Nidhi
author_facet Subramanian, Pavithra C.
Chidanandaswamy, Naveen
Soundararajan, Raghuraman
Bhujade, Harish
Prabhakar, Nidhi
author_sort Subramanian, Pavithra C.
collection PubMed
description 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.
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spelling pubmed-99685512023-02-27 An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature Subramanian, Pavithra C. Chidanandaswamy, Naveen Soundararajan, Raghuraman Bhujade, Harish Prabhakar, Nidhi Indian J Radiol Imaging 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. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-11-24 /pmc/articles/PMC9968551/ /pubmed/36855716 http://dx.doi.org/10.1055/s-0042-1758194 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Subramanian, Pavithra C.
Chidanandaswamy, Naveen
Soundararajan, Raghuraman
Bhujade, Harish
Prabhakar, Nidhi
An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature
title An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature
title_full An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature
title_fullStr An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature
title_full_unstemmed An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature
title_short An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature
title_sort aberrant right subclavian artery–esophageal fistula—a fatal complication of a common anomaly: a case report and review of literature
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968551/
https://www.ncbi.nlm.nih.gov/pubmed/36855716
http://dx.doi.org/10.1055/s-0042-1758194
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