Aberrant Left Subclavian Artery-Esophageal Fistula in a Patient with a Prolonged Use of Nasogastric Tube: A Case Report and Literature Reviewopen access
- Kim, Sungbin; Jeon, Kyung Nyeo; Bae, Kyungsoo
- Issue Date
- esophageal fistula; subclavian artery; bleeding; nasogastric; intubation
- DIAGNOSTICS, v.11, no.2
- Journal Title
- Arterial-esophageal fistula is a rare but potentially fatal complication. Right aortic arch with aberrant left subclavian artery is a rare congenital vascular anomaly that can cause esophageal compression, particularly when the proximal portion of the aberrant subclavian artery forms a Kommerell's diverticulum. Prolonged use of a nasogastric tube can cause pressure necrosis of the esophagus. We report a patient with massive gastrointestinal bleeding secondary to aberrant left subclavian artery-esophageal fistula after a prolonged use of nasogastric tube. A high index of suspicion is essential for better prognosis when a patient with congenital aortic arch anomaly shows upper gastrointestinal hemorrhage.
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- College of Medicine > Department of Medicine > Journal Articles
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