Aberrant Right Subclavian Artery With Esophago-arterial Fistula

Authors

Sinziana Constantinescu, Beaumont Health Resident
Roy G. Soto, Beaumont Health
Neal C. Al-Attar, Beaumont Health Resident

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-10-2021

Abstract

46 year-old female with massive upper GI bleed secondary to aberrant right subclavian artery-esophageal fistula formed during hospitalization following aorto-bi-iliac bypass. We suspect that pressure necrosis of the esophagus at the vulnerable position juxtaposed to the subclavian lead to this upper GI arterial bleed. After temporization of the bleed with Blakemore tube the patient went to the OR for stenting of the subclavian. Though the bleed was controlled, the patient's respiratory status continued to decline, and her family elected to withdraw care. We must emphasize the importance of perioperative surveillance of patients with aberrant aortic arch anatomy.

Comments

American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.

Recommended Citation

Constantinescu S, Soto RG, Al-Attar NC. Aberrant right subclavian artery with esophago-arterial fistula. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4802