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一名50岁女性出现异常右锁骨下动脉并表现为气管食管瘘:一例罕见的常见主动脉弓异常表现的病例报告

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.

作者信息

Naqvi Sayyed Ehtesham Hussain, Beg Mohammed Hanif, Thingam Shyam Kumar Singh, Ali Eram

机构信息

Department of CTVS, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Department of CTVS, PGIMER, Chandigarh, India.

出版信息

Ann Pediatr Cardiol. 2017 May-Aug;10(2):190-193. doi: 10.4103/apc.APC_158_16.

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.

摘要

一名50岁女性,有2年进行性吞咽困难病史和2个月慢性咳嗽病史,以全身脓毒症状态转诊至我院。初步诊断为食管癌伴气管食管瘘。对该患者的评估显示,右锁骨下动脉走行异常,经食管后方,压迫食管和气管,并伴有两者之间的瘘管相通。患者接受了药物稳定治疗和空肠造口喂养,但最终死于严重的基础脓毒症。这种高龄患者出现异常锁骨下动脉的情况罕见,因此予以报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff58/5431032/89145f44c276/APC-10-190-g001.jpg

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