Spontaneous aberrant right subclavian arterio-oesophageal fistula in a previously healthy child

Cardiol Young. 2015 Oct;25(7):1425-7. doi: 10.1017/S1047951114002388. Epub 2014 Dec 12.

Abstract

An aberrant right subclavian artery arising from a left aortic arch is the most frequently described congenital aortic arch anomaly, occurring in 0.5 to 2.3% of the general population. Despite the retro-oesophageal course of the aberrant subclavian artery, an arterio-oesophageal fistula is an uncommon finding, only previously reported as a very rare complication in critically ill patients with oesophageal instrumentation or foreign body ingestion. We describe a unique case of a spontaneous aberrant right subclavian arterio-oesophageal fistula without an inciting event in a 17-month-child.

Keywords: Aberrant right subclavian; arterio-oesophageal fistula; spontaneous fistula.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm / diagnosis*
  • Aneurysm / surgery*
  • Aorta, Thoracic / abnormalities*
  • Aorta, Thoracic / diagnostic imaging*
  • Cardiac Catheterization
  • Cardiovascular Abnormalities / diagnosis*
  • Cardiovascular Abnormalities / surgery*
  • Deglutition Disorders / diagnosis*
  • Deglutition Disorders / surgery*
  • Esophageal Fistula / diagnosis*
  • Esophageal Fistula / surgery*
  • Female
  • Humans
  • Infant
  • Radiography
  • Subclavian Artery / abnormalities*
  • Subclavian Artery / surgery

Supplementary concepts

  • Aberrant subclavian artery