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Case Reports
. 2017 May-Aug;10(2):190-193.
doi: 10.4103/apc.APC_158_16.

Aberrant right subclavian artery presenting as tracheoesophagial fistula in a 50-year-old lady: Case report of a rare presentation of a common arch anomaly

Sayyed Ehtesham Hussain Naqvi  1 , Mohammed Hanif Beg  1 , Shyam Kumar Singh Thingam  2 , Eram Ali  3
Affiliations
Case Reports

Aberrant right subclavian artery presenting as tracheoesophagial fistula in a 50-year-old lady: Case report of a rare presentation of a common arch anomaly

Sayyed Ehtesham Hussain Naqvi et al. Ann Pediatr Cardiol. 2017 May-Aug.

Abstract

A 50-year-old, woman with a 2-year history of progressive dysphagia and 2-month history of chronic cough was referred to our center in a state of generalized sepsis. Provisional diagnosis of carcinoma esophagus with tracheoesophagial fistula was made. Evaluation of the patient revealed an aberrant right subclavian artery with retroesophageal course with compression of the esophagus and trachea with fistulous communication in between. The patient was managed with medical stabilization and with feeding jejunostomy, but she succumbed to underlying severe sepsis. This presentation of aberrant subclavian artery at this advanced age rare and is therefore reported.

Keywords: Aberrant right subclavian artery; aspiration pneumonitis; tracheoesophageal fistula.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Initial barium swallow study with barium entering trachea bronchial tree
Figure 2
Figure 2
Transverse contrast-enhanced computed tomography section just above the level of aberrant right subclavian artery showing small communication between trachea and esophagus
Figure 3
Figure 3
Transverse contrast-enhanced computed tomography section at the level of aberrant right subclavian artery behind esophagus (white bold arrow) with total obliteration of esophageal lumen
Figure 4
Figure 4
Three-dimensional reconstruction of available contrast-enhanced computed tomography chest showing origin and course of aberrant right subclavian artery (white bold arrow). There was no Kommerell's diverticulum
See this image and copyright information in PMC

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