Çocuklarda Supraklavi̇küler İnsi̇zyon İle Di̇sfaji̇ Lusori̇a Tedavi̇si̇: Sağ Aberran Subclavi̇a
p.p1 {margin: 0.0px 0.0px 2.9px 0.0px; text-align: justify; font: 9.0px 'Helvetica Neue Light'}
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.
Treatment of Dysphagia Lusoria with Supraclavicular Incision in Children: Aberrant Right Subclavian Artery
Aberrant right subclavian artery (ARSA) is a rare (0.5-1.8% of the population), usually asymptomatic congenitalanomaly. We report the three female patients who were successfully treated by surgery of supraclavicular incision. Themedian age at the operation time was 15 years old (range: 10-18 years). There were no peroperative and postoperativecomplication. Ulnar and radial tensions were bilaterally normal rate after surgery. There were no difficulties after thepostoperative feeding. It may be suggested that end to side anastomosis of ARSA to carotid artery via supraclavicular
p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 9.0px Helvetica}
incision is a feasible and minimal invasive method for children with dysphagia lusoria.
___
- 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.