{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T11:17:06Z","timestamp":1771759026561,"version":"3.50.1"},"reference-count":44,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Arterial-esophageal fistula is a rare but potentially fatal complication. Right aortic arch with aberrant left subclavian artery is a rare congenital vascular anomaly that can cause esophageal compression, particularly when the proximal portion of the aberrant subclavian artery forms a Kommerell\u2019s diverticulum. Prolonged use of a nasogastric tube can cause pressure necrosis of the esophagus. We report a patient with massive gastrointestinal bleeding secondary to aberrant left subclavian artery-esophageal fistula after a prolonged use of nasogastric tube. A high index of suspicion is essential for better prognosis when a patient with congenital aortic arch anomaly shows upper gastrointestinal hemorrhage.<\/jats:p>","DOI":"10.3390\/diagnostics11020195","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T22:02:01Z","timestamp":1611871321000},"page":"195","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Aberrant Left Subclavian Artery-Esophageal Fistula in a Patient with a Prolonged Use of Nasogastric Tube: A Case Report and Literature Review"],"prefix":"10.3390","volume":"11","author":[{"given":"Sungbin","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Radiology, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju 52727, Korea"},{"name":"Department of Radiology, Gyeongsang National University Changwon Hospital, Changwon 51472, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2267-0366","authenticated-orcid":false,"given":"Kyung Nyeo","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju 52727, Korea"},{"name":"Department of Radiology, Gyeongsang National University Changwon Hospital, Changwon 51472, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyungsoo","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Radiology, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju 52727, Korea"},{"name":"Department of Radiology, Gyeongsang National University Changwon Hospital, Changwon 51472, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/0002-9343(91)90129-L","article-title":"Aortoesophageal fistula: A comprehensive review of the literature","volume":"91","author":"Hollander","year":"1991","journal-title":"Am. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1155\/2007\/398213","article-title":"Upper gastrointestinal bleeding secondary to an aberrant right subclavian artery-esophageal fistula: A case report and review of the literature","volume":"21","author":"Millar","year":"2007","journal-title":"Can. J. Gastroenterol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.jvs.2017.06.097","article-title":"A systematic review and meta-analysis of variations in branching patterns of the adult aortic arch","volume":"68","author":"Popieluszko","year":"2018","journal-title":"J. Vasc. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1148\/rg.2017160033","article-title":"Congenital Variants and Anomalies of the Aortic Arch","volume":"37","author":"Hanneman","year":"2017","journal-title":"Radiographics"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.bjan.2013.07.019","article-title":"Aberrant right subclavian artery-esophageal fistula: Massive upper gastrointestinal hemorrhage secondary to prolonged intubation","volume":"66","author":"Oliveira","year":"2016","journal-title":"Braz. J. Anesthesiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"176","DOI":"10.3348\/kjr.2009.10.2.176","article-title":"Congenital anomalies of the aortic arch: Evaluation with the use of multidetector computed tomography","volume":"10","author":"Turkvatan","year":"2009","journal-title":"Korean J. Radiol."},{"key":"ref_7","first-page":"147","article-title":"Unusual complication of nasogastric esophageal intubation-erosion into an aberrant right subclavian artery","volume":"18","author":"Merchant","year":"1977","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1002\/ams2.136","article-title":"Postmortem diagnosis of massive gastrointestinal bleeding in a patient with aberrant right subclavian artery-esophageal fistula","volume":"3","author":"Watanabe","year":"2016","journal-title":"Acute Med. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1017\/S1047951114002388","article-title":"Spontaneous aberrant right subclavian arterio-oesophageal fistula in a previously healthy child","volume":"25","author":"Joynt","year":"2015","journal-title":"Cardiol. Young"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1378\/chest.86.5.732","article-title":"Arterial-esophageal fistulae developing in patients with anomalies of the aortic arch system","volume":"86","author":"Edwards","year":"1984","journal-title":"Chest"},{"key":"ref_11","first-page":"105","article-title":"Anomalous right subclavian arterial esophageal fistula: An unusual complication of tracheostomy","volume":"9","author":"Livesay","year":"1982","journal-title":"Tex. Heart Inst. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/s10016-001-0406-z","article-title":"Arterioesophageal fistula: A rare complication of retroesophageal subclavian arteries","volume":"17","author":"Feugier","year":"2003","journal-title":"Ann. Vasc. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Shires, C.B., and Rohrer, M.J. (2018). Anomalous Right Subclavian Artery-Esophageal Fistulae. Case Rep. Vasc. Med., 2018.","DOI":"10.1155\/2018\/7541904"},{"key":"ref_14","first-page":"498","article-title":"Erosion hemorrhage from an esophago-aortic fistula in congenital anomaly of the thoracic aorta as a fatal complication of a stomach tube","volume":"32","author":"Jungck","year":"1983","journal-title":"Anaesthesist"},{"key":"ref_15","first-page":"1045","article-title":"A case of an aberrant subclavian artery-esophageal fistula due to prolonged nasogastric intubation","volume":"44","author":"Ikeda","year":"1991","journal-title":"Kyobu Geka"},{"key":"ref_16","first-page":"127","article-title":"Aberrant Right Subclavian Artery-Esophageal Fistula in 20-Year-Old with VATER Association","volume":"6","author":"Kudose","year":"2017","journal-title":"J. Pediatr. Intensive Care"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/BF02552686","article-title":"Aberrant right subclavian artery--esophageal fistula: A cause of overwhelming upper gastrointestinal hemorrhage","volume":"7","author":"Belkin","year":"1984","journal-title":"Cardiovasc. Interv. Radiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1177\/000313481007601237","article-title":"Aberrant right subclavian artery-esophageal fistula","volume":"76","author":"Chapman","year":"2010","journal-title":"Am. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1016\/j.jtcvs.2005.12.026","article-title":"Erosion of a retroesophageal subclavian artery by an esophageal prosthesis","volume":"131","author":"Deviere","year":"2006","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1053\/ejvs.2001.1512","article-title":"Aberrant right subclavian arterioesophageal fistula: Endovascular occlusion via a transbrachial approach","volume":"23","author":"Feugier","year":"2002","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s00383-009-2532-6","article-title":"Arterial-esophageal fistula: A severe complication in children with cardiovascular abnormalities","volume":"26","author":"Fuentes","year":"2010","journal-title":"Pediatr. Surg. Int."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/0003-4975(89)90298-1","article-title":"Successful management of aberrant subclavian artery-esophageal fistula in an infant","volume":"47","author":"Guzzetta","year":"1989","journal-title":"Ann. Thorac. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/S0009-9260(05)80541-0","article-title":"Arterioenteric fistulae: Diagnosis and treatment by angiography","volume":"43","author":"Hirakata","year":"1991","journal-title":"Clin. Radiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4240\/wjgs.v6.i6.117","article-title":"Repair of an aberrant subclavian arterioesophageal fistula following esophageal stent placement","volume":"6","author":"Hosn","year":"2014","journal-title":"World J. Gastrointest. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1002\/hed.20854","article-title":"Retroesophageal subclavian artery--esophageal fistula: A rare complication of a salivary bypass tube","volume":"30","author":"Inman","year":"2008","journal-title":"Head Neck"},{"key":"ref_26","first-page":"571","article-title":"Aberrant right subclavian artery-esophageal fistula and severe gastrointestinal bleeding after surgical correction of scimitar syndrome","volume":"39","author":"Jain","year":"2012","journal-title":"Tex. Heart Inst. J."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Lehmann, B., Clemetson, I., Fantin, A.C., Henning, P., Kipfer, B., M\u00fchlethaler, R., Vetsch, G., and Dinkel, H.-P. (2006). Arterioesophageal fistula secondary to rupture of an aberrant right subclavian artery aneurysm: A rare differential diagnosis in upper gastrointestinal bleeding. Endoscopy, 38.","DOI":"10.1055\/s-2006-925172"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1097\/MPG.0b013e31824ffd7f","article-title":"Arterioesophageal fistula after stenting for esophageal atresia","volume":"56","author":"Lo","year":"2013","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1177\/1538574408315993","article-title":"Endovascular treatment of aberrant right subclavian (lusorian) artery to oesophagus fistula: A case report","volume":"42","author":"Magagna","year":"2008","journal-title":"Vasc. Endovasc. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e85","DOI":"10.1016\/j.athoracsur.2019.12.045","article-title":"Aberrant Right Subclavian Artery to Esophageal Fistula: A Rare Case and Its Management","volume":"110","author":"Merlo","year":"2020","journal-title":"Ann. Thorac. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/0741-5214(90)90078-O","article-title":"Aberrant right subclavian artery: Varied presentations and management options","volume":"11","author":"Stone","year":"1990","journal-title":"J. Vasc. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"790","DOI":"10.5761\/atcs.cr.12.02153","article-title":"Aortoesophageal fistula after endovascular repair for aberrant right subclavian artery aneurysm","volume":"20","author":"Morisaki","year":"2014","journal-title":"Ann. Thorac. Cardiovasc. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S0741-5214(96)70103-9","article-title":"Survival after aberrant right subclavian artery-esophageal fistula: Case report and literature review","volume":"24","author":"Miller","year":"1996","journal-title":"J. Vasc. Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1016\/j.athoracsur.2012.01.092","article-title":"Lesson to be learned: Beware of lusoria artery during transhiatal esophagectomy","volume":"94","author":"Pop","year":"2012","journal-title":"Ann. Thorac. Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/S0899-7071(97)00072-7","article-title":"Arterio-esophageal communication from a ruptured aberrant right subclavian artery aneurysm. CT diagnosis","volume":"22","author":"Singha","year":"1998","journal-title":"Clin. Imaging"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1007\/s00383-011-2881-9","article-title":"Near-fatal bleeding from an aberrant subclavian artery following colonic interposition for oesophageal atresia","volume":"27","author":"Situma","year":"2011","journal-title":"Pediatr. Surg. Int."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1093\/icvts\/ivt083","article-title":"Arterio-oesophageal fistula caused by aberrant right subclavian artery aneurysm","volume":"16","author":"Takahashi","year":"2013","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/0899-7071(93)90070-4","article-title":"Aberrant left subclavian artery aneurysm with esophago-arterial fistula. CT demonstration","volume":"17","author":"Warshauer","year":"1993","journal-title":"Clin. Imaging"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1097\/SLE.0000000000000696","article-title":"A Pseudoaneurysm of Aberrant Right Subclavian Artery Caused by Esophageal Stent Placement Because of Esophageal Stricture After Endoscopic Submucosal Dissection","volume":"29","author":"Zheng","year":"2019","journal-title":"Surg. Laparosc. Endosc. Percutan. Tech."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/0037-198X(89)90027-8","article-title":"Aneurysm of an aberrant right subclavian artery with bleeding into the esophageal wall","volume":"24","author":"Kullnig","year":"1989","journal-title":"Semin. Roentgenol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/00000433-200003000-00014","article-title":"Arterial-esophageal fistulae in patients requiring nasogastric esophageal intubation","volume":"21","author":"Minyard","year":"2000","journal-title":"Am. J. Forensic Med. Pathol."},{"key":"ref_42","first-page":"1655","article-title":"Fatal hematemesis due to erosion of a retro-esophageal right subclavian artery by an esophagogastric tube","volume":"14","author":"Gossot","year":"1985","journal-title":"Presse Med."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Buades Reynes, J., Aguirre Errasti, C., Bilbao Ercoreca, F.J., and Onate Landa, A. (1976). Letter: Aneurysm of aberrant right subclavian artery with esophageal perforation. Chest, 70.","DOI":"10.1378\/chest.70.1.105a"},{"key":"ref_44","first-page":"331","article-title":"Kommerell\u2019s diverticulum with esophago-arterial fistula","volume":"12","author":"Lynn","year":"1969","journal-title":"Can. J. Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/11\/2\/195\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:16:53Z","timestamp":1760159813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/11\/2\/195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,28]]},"references-count":44,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2]]}},"alternative-id":["diagnostics11020195"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics11020195","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,28]]}}}