Aberrant right subclavian artery-esophageal fistula: A cause of overwhelming upper gastrointestinal hemorrhage

Rod I. Belkin, Frederick S. Keller, Edwin C. Everts, Josef Rösch

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

A patient had massive hematemesis due to a fistula between an unsuspected aberrant right subclavian artery and the esophagus, with the fistula caused by prolonged esophageal intubation. Lack of awareness of this complication delayed the correct diagnosis, which was eventually made at a second angiographic study. With knowledge of the fistula, this potentially fatal situation can be promptly diagnosed by endoscopy and emergency angiography. Transcatheter embolization is suggested as a potential alternative to surgery in the treatment of the aberrant right subclavian artery-esophageal fistula.

Original languageEnglish (US)
Pages (from-to)87-89
Number of pages3
JournalCardiovascular and interventional radiology
Volume7
Issue number2
DOIs
StatePublished - Apr 1 1984

Keywords

  • Artery, aberrant right subclavian
  • Embolization, bleeding control
  • Esophageal intubation, complication
  • Fistula, arterio-esophageal
  • Gastrointestinal tract, hemorrhage
  • Vasoocclusion, transcatheter

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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