Vascular anomaly: Cause of infant respiratory distress and dysphagia

Aberrant right subclavian artery with a left aortic arch is rare, but it is the most common congenital aortic arch anomaly. It can present as an incidental finding later in life or be symptomatic at a young age. Here, we describe a case of an aberrant right subclavian artery discovered in a 4 month...

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Bibliographic Details
Published in:Respiratory medicine case reports 2019-01, Vol.28, p.100908, Article 100908
Main Authors: Baig, Aisha, Fortner, Christopher, Rivera, Marcus, Merrow, Jill, Gupta, Saurabh, Sher, Erica, Mortelliti, Anthony
Format: Article
Language:English
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Case Report
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Summary:Aberrant right subclavian artery with a left aortic arch is rare, but it is the most common congenital aortic arch anomaly. It can present as an incidental finding later in life or be symptomatic at a young age. Here, we describe a case of an aberrant right subclavian artery discovered in a 4 month old with respiratory distress and feeding difficulties. She underwent an extensive aerodigestive evaluation including bronchoscopy, both flexible and rigid, upper GI endoscopy, modified barium swallow with esophageal sweep, chest imaging, CT thorax and echocardiogram. The final decision per the management team was to observe the patient in order to allow more growth. She ultimately improved with age and remains asymptomatic.
ISSN:2213-0071
2213-0071
DOI:10.1016/j.rmcr.2019.100908