Retroesophageal subclavian artery-Esophageal fistula: A rare complication of a salivary bypass tube

Head & Neck ◽  
2008 ◽  
Vol 30 (8) ◽  
pp. 1120-1123 ◽  
Author(s):  
Jared C. Inman ◽  
Paul Kim ◽  
Richard McHugh
2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
T. Evans ◽  
S. Roy ◽  
M. Rocker

Pseudoaneurysms of the subclavian artery remain a rare complication after fracture of the clavicle. We report a case of delayed diagnosis of a subclavian artery pseudoaneurysm after a closed fracture of the clavicle in a 15-year-old patient, 3 months after the original injury while playing rugby union. Despite several attendances to the Emergency Department with vague symptoms, the final diagnosis was confirmed by duplex ultrasound and Computed Tomography of the thorax. Surgical repair was indicated due to acute limb ischaemia from distal embolisation from a large pseudoaneurysm, with the patient making a full recovery. This case highlights the need for clinical vigilance when assessing patients, particularly on repeated occasions when their recovery appears to be impaired. A thorough history and clinical examination can raise suspicion of even rare occurrences and aid prompt management.


2002 ◽  
Vol 16 (3) ◽  
pp. 387-390 ◽  
Author(s):  
Norbert Boas ◽  
Frederic Desmoucelle ◽  
Vincent Bernadet ◽  
Jean-Claude Franceschi

2007 ◽  
Vol 21 (6) ◽  
pp. 389-392 ◽  
Author(s):  
Adam Millar ◽  
Alaa Rostom ◽  
Pasteur Rasuli ◽  
Nav Saloojee

An aberrant right subclavian artery (ARSA) is a common aortic arch abnormality. A case of a 57-year-old man presenting with melena and hypotension secondary to an ARSA-esophageal fistula is reported. The current report is unique because it is the first reported case of ARSA-esophageal fistula associated with prior esophagectomy and gastric pull-up. A MedLine search was performed for ARSA-esophageal fistula cases, which were then compared with the present case. Because this patient had no vascular conduits, nasogastric or endotracheal tubes, the fistula likely occurred secondary to the previous surgery. This case is unusual because the patient survived the original hemorrhage associated with the ARSA-esophageal fistula.An ARSA-esophageal fistula is a rare, but potentially fatal cause of upper gastrointestinal bleeding. A high index of suspicion is needed to make the diagnosis. This condition should be considered in patients with risk factors combined with hemodynamically significant gastrointestinal bleeding.


2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Wissam Al-Jundi ◽  
Aiman Saleh ◽  
Kathryn Lawrence ◽  
Sohail Choksy

Coronary-subclavian steal syndrome results from atherosclerotic disease of the proximal subclavian artery causing reversal of flow in an internal mammary artery used as conduit for coronary artery bypass. This rare complication of cardiac revascularisation leads to recurrence of myocardial ischaemia. When feasible, subclavian angioplasty and/or stent placement can provide acceptable result for these patients. Vascular reconstruction through carotid to subclavian artery bypass has been the standard procedure of choice. Other interventions in literature include axilloaxillary bypass and subclavian carotid transposition. This case report describes the use of carotid axillary artery bypass for the treatment of coronary-subclavian steal syndrome.


2021 ◽  
Vol 77 (18) ◽  
pp. 3019
Author(s):  
Zauraiz Anjum ◽  
Devesh Rai ◽  
Tamer Salhab Altamimi ◽  
Harsh Patel ◽  
Mohan Rao ◽  
...  

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