Ýnsidental Tespit Edilen Aberran Sað Subklavyen Arter: Olgu Sunumu

Aberran sað subklavyen arter (ASSA) konjenital bir anomali olup, sýklýkla asemptomatik seyreden ve nadir görülen bir anomalidir. Eriþkin ASSA’lý hasta-larda en sýk klinik baþvuru semptomu disfaji olup nadirde olsa solunum yakýnmalarý ile de baþvurabilir-ler. Yutma güçlüðü ile baþvuran 79 yaþýndaki bir hasta çekilen toraks ve boyun BT, özofagografi ile taný konularak sunulmuþtur. Hasta yutkunamama ve öksürük þikayeti ile baþvurduðu merkezlerde pnömoni tedavisi görmüþ, çekilen grafiler sonrasý mediastinal kitle þüphesiyle sevk edilen hastaya kontrastlý bilgisa-yarlý tomografi ile ASSA tanýsý konulmuþtur. Sonuç olarak yutma güçlüðü ile baþvuran hastalarda ASSA buna neden olan nadir bir sebepte olsa ayýrýcý tanýda yer almalýdýr.

Incidentally Detected Aberrant Right Subclavian Artery: A Case Report

Aberrant right subclavian artery (ARSA) is a rarely seen congenital and often asymptomatic anomaly. The most common clinical presenting symptom in adult ARSA patients is dysphagia, while patients may rarely present with respiratory complaints. We present here the case of a 79-year-old patient with dysphagia who was diagnosed based on thorax and neck CT and esophagography findings. The patient was treat-ed for pneumonia in the centers to which she applied with complaints of cough and inability to swallow, and was subsequently referred to us with the suspi-cion of a mediastinal mass after radiograms were obtained. The diagnosis of ARSA was made based on contrast-enhanced computed tomography. With this in mind, ARSA should be included in the differential diagnosis of patients presenting with dysphagia, despite it being a rarely seen etiology.