Treatment of Dysphagia Lusoria with Supraclavicular Incision in Children: Aberrant Right Subclavian Artery

Yıl 2019, Cilt: 13 Sayı: 6, 492 - 495, 23.12.2019

Ufuk Ateş

https://doi.org/10.12956/tchd.562342

Öz

Aberrant right subclavian artery (ARSA) is a rare (0.5-1.8% of the population), usually asymptomatic congenital

anomaly. We report the three female patients who were successfully treated by surgery of supraclavicular incision. The

median age at the operation time was 15 years old (range: 10-18 years). There were no peroperative and postoperative

complication. Ulnar and radial tensions were bilaterally normal rate after surgery. There were no difficulties after the

postoperative feeding. It may be suggested that end to side anastomosis of ARSA to carotid artery via supraclavicular

incision is a feasible and minimal invasive method for children with dysphagia lusoria.

Çocuklarda Supraklavi̇küler İnsi̇zyon İle Di̇sfaji̇ Lusori̇a Tedavi̇si̇: Sağ Aberran Subclavi̇a

Öz

Sağ aberrant subclavian arter (ARSA), nadir görülen ve genellikle asemptomatik seyreden konjenital bir anomalidir (populasyonun %0.5-1.8’i). Bu çalışmada supraklavikular insizyon ile başarılı bir şekilde tedavi edilen üç kız hastanın sunulması amaçlandı. Ameliyat sırasında ortanca yaş 15’di (aralık: 10-18 yaş). Ameliyat sırasında ve sonrasında komplikasyon izlenmedi. Bilateral ulnar ve radyal pulsasyonları ameliyat sonrası normaldi. Ameliyat sonrasında beslenme ile ilgili problem gözlenmedi. Supraklaviküler insizyon ile ARSA’ nın uç yan anastomozu, disfaji lusoriası olan çocuklar için uygulanabilir ve minimal invaziv bir yöntem olarak düşünülmelidir.

Anahtar Kelimeler

Aberran sağ subklavian arter, Disfaji lusoria

Kaynakça

• 1. Erami C, Charaf-Eddine A, Aggarwal A, Rivard AL, Giles HW, Nowicki MJ. Dysphagia lusoria in an infant. J Pediatr 2013;162:1289-90.
• 2. Barone C, Carucci NS, Romano C. A Rare Case of Esophageal Dysphagia in Children: Aberrant Right Subclavian Artery. Case Rep Pediatr 2016;2016:2539374.
• 3. Fukuhara S, Patton B, Yun J, Bernik T. A novel method for the treatment of dysphagia lusoria due to aberrant right subclavian artery. Interact Cardiovasc Thorac Surg 2013; 16:408-10.
• 4. Przybyszowski M, Bochenek G, Pawlak S, Śliwka J, Pawlik W, Sładek K. Difficult-to-treat asthma and dysphagia in an adult patient with aberrant right subclavian artery. Pol Arch Med Wewn 2016;126:288-9.
• 5. Atay Y, Engin C, Posacioglu H, Ozyurek R, Ozcan C,Yagdi T, et al. Surgical Approaches to the Aberrant Right Subclavian Artery. Texas Hear Inst J 2006;33:477-81.
• 6. Calis EAC, Veugelers R, Sheppard JJ, Tibboel D, Evenhuis HM, Penning C. Dysphagia in children with severe generalized cerebral palsy and intellectual disability. Dev Med Child Neurol 2008;50:625- 30.
• 7. Radhiana H, Razali AMR, Ishlah WWL. Dysphagia caused by an aberrant right subclavian artery. Int Med J Malaysia 2011;10:43-5.
• 8. Carrizo GJ, Marjani MA. Dysphagia lusoria caused by an aberrant right subclavian artery. Tex Heart Inst J 2004;31:168-71.
• 9. Rogers AD, Nel M, Eloff EP, Naidoo NG. Dysphagia Lusoria: A Case of an Aberrant Right Subclavian Artery and a Bicarotid Trunk. ISRN Surg 2011;2011:1-6.
• 10. González-Sánchez M, Pardal-Refoyo JL, Martín-Sánchez A. Arteria subclavia derecha aberrante y disfagia lusoria. Acta Otorrinolaringol Esp 2013;64:244-5.
• 11. Gollu G, Demir N, Ates U, Aslan SS, Ergun E, Kucuk G, et al. Effective management of cricopharyngeal achalasia in infants and children with dilatation alone. J Pediatr Surg 2016;51:1751-4.
• 12. Gollu G, Ergun E, Ates U, Can OS, Dindar H. Balloon dilatation in esophageal strictures in epidermolysis bullosa and the role of anesthesia. Dis Esophagus 2017;30:1-6.
• 13. Marchica C, Zawawi F, Daniel SJ. Management of cricopharyngeal achalasia in an 8-month child using endoscopic cricopharyngeal myotomy. Int J Pediatr Otorhinolaryngol 2017;101:137-40.
• 14. Coppens CH, van den Engel-Hoek L, Scharbatke H, de Groot SAF, Draaisma JMT. Dysphagia in children with repaired oesophageal atresia. Eur J Pediatr 2016; 175:1209-17.
• 15. Septer S, Cuffari C, Attard TM. Esophageal polyps in pediatric patients undergoing routine diagnostic upper gastrointestinal endoscopy: A multicenter study. Dis Esophagus 2014;27:24-9.
• 16. Janssen M, Baggen MGA, Veen HF, Smout AJ,Bekkers JA,Jonkman JG, et al. Dysphagia lusoria: Clinical aspects, manometric findings, diagnosis, and therapy. Am J Gastroenterol 2000; 95:1411-6.