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J Thorac Cardiovasc Surg 2006;131:1183-1184
© 2006 The American Association for Thoracic Surgery

Brief Communication

Erosion of a retroesophageal subclavian artery by an esophageal prosthesis

Frédéric Vanden Eynden, MD a , Jacques Devière, MD, PhD b , Marc Laureys, MD c , Didier de Cannière, MD, PhD a , *

a Service de Chirurgie Cardiaque, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
b Service de gastro-entérologie, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
c Service de radiologie interventionelle, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

Received for publication November 14, 2005; accepted for publication December 1, 2005.

* Address for reprints: Pr. Didier de Cannière, Service de Chirurgie cardiaque, Hôpital Erasme, Brussels University Medical School, 808 route de Lennick, 1070 Anderlecht, Belgium (Email: didier.decanniere@ulb.ac.be).

The first 20% of the full text of this article appears below.

Arterioesophageal fistula is a rare cause of upper digestive hemorrhage. It usually presents with a fatal outcome. It may happen in the course of esophageal or thoracic disease, or in the setting of foreign body ingestion, and involves the thoracic aorta or the subclavian artery.

Arterioesophageal fistula can also occur in the presence of a retroesophageal subclavian artery (RESCA), also known as arteria lusoria. It is usually asymptomatic but may cause dysphagia (dysphagia lusoria) and may demonstrate symptomatic atherosclerotic and aneurysmal degeneration. However, spontaneous fistulization in the esophagus is not described. It has mostly been associated with prolonged nasogastric tube presence. The present report describes the first case of arterioesophageal fistula with a RESCA caused by an esophageal prosthesis and discusses treatment based on a review of the literature.

Clinical Summary

Fourteen months before the actual admission, a 9-year-old girl with Down syndrome was admitted for caustic ingestion. She presented with severe ulceration from the middle esophagus down to . . . [Full Text of this Article]




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