Baig Aisha, Fortner Christopher, Rivera Marcus, Merrow Jill, Gupta Saurabh, Sher Erica, Mortelliti Anthony
Department of Pediatrics, Pulmonary Division, Upstate University/Golisano Children's Hospital, Syracuse, NY, USA.
Rutgers University/Robert Wood Johnson Hospital New Brunswick, NJ, USA.
Respir Med Case Rep. 2019 Jul 16;28:100908. doi: 10.1016/j.rmcr.2019.100908. eCollection 2019.
Aberrant right subclavian artery with a left aortic arch is rare, but it is the most common congenital aortic arch anomaly. It can present as an incidental finding later in life or be symptomatic at a young age. Here, we describe a case of an aberrant right subclavian artery discovered in a 4 month old with respiratory distress and feeding difficulties. She underwent an extensive aerodigestive evaluation including bronchoscopy, both flexible and rigid, upper GI endoscopy, modified barium swallow with esophageal sweep, chest imaging, CT thorax and echocardiogram. The final decision per the management team was to observe the patient in order to allow more growth. She ultimately improved with age and remains asymptomatic.
异常右锁骨下动脉伴左主动脉弓较为罕见，但却是最常见的先天性主动脉弓异常。它可在生命后期偶然发现，也可在年轻时出现症状。在此，我们描述一例4个月大、伴有呼吸窘迫和喂养困难的异常右锁骨下动脉病例。她接受了广泛的气消化道评估，包括柔性和刚性支气管镜检查、上消化道内镜检查、改良钡餐食管造影、胸部成像、胸部CT和超声心动图。管理团队的最终决定是观察该患者，以便其进一步生长。她最终随着年龄增长而好转，且仍无症状。
