Survival after aberrant right subclavian artery–esophageal fistula: Case report and literature review,☆☆,

Presented at the Forty-seventh Annual Meeting of the Southwestern Surgical Congress, San Antonio, Tex., April 23-26, 1995.
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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. (J Vasc Surg 1996;24:271-5.)

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From the Cora and Webb Mading Department of Surgery (Drs. Miller, Robie, and Jaksic), Department of Pediatrics (Drs. Davis, Klish, and Jaksic), and Department of Pathology (Dr. Kearney), Baylor College of Medicine and Texas Children's Hospital; and the Department of Cardiovascular Surgery (Dr. Cooley) and Department of Radiology (Dr. Skolkin), St. Luke's Episcopal Hospital and Texas Heart Institute.

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Reprint requests: Tom Jaksic, MD, PhD, Department of Pediatric Surgery, Texas Children's Hospital, 6621 Fannin MC 3-2325, Houston, TX 77030-2399.

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