Arterioesophageal Fistula Due to an Aberrant Right Subclavian Artery: A case report.
- Author:
Kyung Hwan HWANG
1
;
Eui Do HWANG
;
Soo Young YOON
;
Jae Hyeon YU
;
Myung Hoon NA
;
Sung Pyoung LIM
;
Young LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University, Taejeon, Korea.
- Publication Type:Case Report
- Keywords:
Arterial fistula;
Esiphageal fistula;
Vascular ring
- MeSH:
Accidents, Traffic;
Adult;
Aorta;
Brain;
Chest Tubes;
Fistula*;
Hematemesis;
Hemorrhage;
Humans;
Multiple Trauma;
Reoperation;
Subclavian Artery*;
Sutures;
Thoracotomy;
Tracheostomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(11):1142-1144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of fatal hematemesis due to an aberrant right subclavian arterioesophageal fistula which is a rare complication of the vascular ring is presented. A 42-year-old man with multiple injury by traffic accident presented severe upper gastrointestinal bleeding and was taken emergent operation. He was keeping tracheostomy tube and nasogastric tube for 7 weeks. We could find an aberrant right subclavian arterioesophageal fistula through left thoracotomy which was made by irritation of the prolonged nasogastric tube. We carried division of the aberrant right subclavian artery and fistulectomy. He was doing well postoperatively. But massive bleeding occurred at the fifth postoperative day. We performed emergent reoperation at CCU and found the tear point on the suture site of the aorta, which might be developed due to irritation of the chest tube and/or infection of the surrounding tissues. He was expired at the 8th postoperative day due to ischemic brain damage.
