{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:29Z","timestamp":1786728629107,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>\n                    An aberrant right subclavian artery (ARSA) is a rare developmental anomaly wherein the right subclavian artery arises from the descending aorta as a fourth branch of the aortic arch. We present the case of ARSA in an 81-year-old woman who was injured in a motorcycle accident. The patient had a history of asymptomatic cerebral infarction, type 2 diabetes mellitus, and rheumatoid arthritis. She was diagnosed with spleen and liver injury, left renal injury, along with fractures in the rib, pelvic, vertebrae, and right tibia. On the 3\n                    <jats:sup>rd<\/jats:sup>\n                    hospitalization day, activated partial thromboplastin time (APTT) prolongation was observed, followed by sudden massive hematemesis and shock on the 39\n                    <jats:sup>th<\/jats:sup>\n                    day. We indicate sudden hematemesis and ARSA bleeding as the cause. We performed compression with a Sengstaken\u2013Blakemore tube and coil embolization for hemostasis. Our findings show that the bleeding was mainly caused by nasogastric tube compression, prolonged APTT, and acquired hemophilia A.\n                  <\/jats:p>","DOI":"10.4103\/jets.jets_22_23","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T07:00:07Z","timestamp":1691478007000},"page":"182-184","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Aberrant Right Subclavian Artery Complicated by Acquired Hemophilia A and a Subclavian Artery\u2013Esophageal Fistula after Traumatic Injury"],"prefix":"10.4103","volume":"16","author":[{"given":"Nobuhisa","family":"Hirayu","sequence":"first","affiliation":[{"name":"Advanced Emergency and Critical Care Center, Kurume University Hospital, Kurume, Fukuoka, Japan"},{"name":"Department of Emergency and Critical Care Medicine, Kurume University School of Medicine, Kurume, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Advanced Emergency and Critical Care Center, Kurume University Hospital, Kurume, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masakazu","family":"Nabeta","sequence":"additional","affiliation":[{"name":"Advanced Emergency and Critical Care Center, Kurume University Hospital, Kurume, Fukuoka, Japan"},{"name":"Department of Emergency and Critical Care Medicine, Kurume University School of Medicine, Kurume, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Takasu","sequence":"additional","affiliation":[{"name":"Advanced Emergency and Critical Care Center, Kurume University Hospital, Kurume, Fukuoka, Japan"},{"name":"Department of Emergency and Critical Care Medicine, Kurume University School of Medicine, Kurume, Fukuoka, 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