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Ann Thorac Surg 1989;47:308-309
© 1989 The Society of Thoracic Surgeons

Articles

Successful management of aberrant subclavian artery-esophageal fistula in an infant

Philip C. Guzzetta, MD*,a,b, Kurt D. Newman, MDa,b, Eric Ceithaml, MDa,b

a Department of Surgery and Department of Child Health and Development, Children's Hospital National Medical Center, George Washington University, Washington, DC, USA
b Department of Surgery, University of Florida School of Medicine, Jacksonville, Florida, USA

Accepted for publication August 29, 1988.

* Address reprint requests to Dr Guzzetta, 111 Michigan Avenue, NW, Washington, DC 20010.

This report describes a 4-month-old female infant with complex congenital heart disease and prolonged nasogastric intubation who developed an aberrant subclavian artery-esophageal fistula that was successfully managed in a two-staged procedure. To our knowledge, this is the first patient to survive correction of this problem after massive hemorrhage.




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