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Double aortic arch with total persistence of the right and isthmus stenosis of the left arch: A new clinical and X-ray picture

1936; Elsevier BV; Volume: 11; Issue: 4 Linguagem: Inglês

10.1016/s0002-8703(36)90231-4

1097-6744

Aaron Arkin,

Congenital Heart Disease Studies

Development of a fistula between an aberrant right subclavian artery and the esophagus is a rare cause of heretofore fatal hematemesis. We report the first known survivor of this devastating complication of the most common aortic arch anomaly. Intraoperative esophagogastroduodenoscopy, intraesophageal balloon tamponade, and arteriography were the keys to successful management. This lesion should be suspected in the setting of bright red, “arterial” hematemesis. Prolonged nasogastric and/or endotracheal intubation should be avoided in patients with a known aberrant right subclavian artery or other aortic arch anomaly. (J Vasc Surg 1996;24:271-5.)