TY - JOUR AU - Subramanian, Pavithra C.; Chidanandaswamy, Naveen; Soundararajan, Raghuraman; Bhujade, Harish; Prabhakar, Nidhi TI - An Aberrant Right Subclavian Artery–Esophageal Fistula—A Fatal Complication of a Common Anomaly: A Case Report and Review of Literature SN - 0971-3026 SN - 1998-3808 PY - 2022 JO - Indian J Radiol Imaging JF - Indian Journal of Radiology and Imaging LA - EN VL - 33 IS - 01 SP - 117 EP - 120 DA - 2022/11/24 KW - ARSA KW - aberrant right subclavian artery KW - esophageal bleeding KW - nasogastric tube AB - An aberrant right subclavian artery (ARSA), also called as arteria lusoria, is one of the most common aortic arch anomalies. ARSA–esophageal fistula is a rare, life-threatening complication, with only 37 cases reported in literature. We describe a case of a young girl who developed acute episode of massive hematemesis after the recovery from novel coronavirus disease 2019 (COVID-19) pneumonia. Computed tomography (CT) angiography showed ARSA with retroesophageal course and active contrast leak in esophagus. Digital subtraction angiography confirmed the site of active contrast extravasation from the ARSA. However, the patient succumbed to hypovolemic shock even before the endovascular or surgical interventions could be done. PB - Thieme Medical and Scientific Publishers Pvt. Ltd. DO - 10.1055/s-0042-1758194 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0042-1758194 ER -