Aberrant Right Subclavian Arterioesophageal Fistula: Endovascular Occlusion via a Transbrachial Approach

Introduction scan demonstrated a previously unsuspected aberrant right subclavian artery in contact with the nasogastric Arterio-oesophageal fistulae are a rare cause of haemattube (Fig. 1). The patient was transferred immediately to the operating room. emesis and are frequently fatal. Such fistulae have been reported to involve the thoracic aorta or aberrant right A 7-French standard introducer was inserted into the exposed right brachial artery. Arteriography confirmed subclavian artery. They may be associated with aneurysmal degeneration of the artery, an aortic graft and the diagnosis, with a typical contrast leak. After passing of fistula with a 0.035 hydrophilic J guide wire prolonged nasogastric intubation. In the latter situation the severity of the situation is complicated by the and determining the arterial diameter, the bleeding was controlled by inflating a balloon (7 mm by 20 mm) uncertain diagnosis and the difficulties stopping the haemorrhage sufficiently quickly. We present the first in the subclavian artery. Thereafter the patient was stabilised haemodynamically. The subclavian origin documented case of a patient with an aberrant right subclavian arterioesophageal fistula successfully was then ligated via a left antero-lateral thoracotomy. His right arm was revascularised by carotido-subtreated by an endovascular repair via a brachial approach. clavian transposition. After a protracted course the