title: Anomalous right subclavian arterial esophageal fistula: an unusual complication of tracheostomy.
abstract: Fistula formation between an anomalous right subclavian artery and the esophagus is a heretofore unrecognized cause of massive upper gastrointestinal hemorrhage. This complication may result from overinflation of an adjacent tracheostomy balloon. The following case report illustrates difficulties in diagnosis and describes the use of temporary intestinal exclusion to tamponade the bleeding esophagus.
authors.affiliation: Department of Surgery, UCLA Center for Health Sciences, Los Angeles, California, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Livesay
authors.forename: A A
authors.initials: AA
authors.lastname: Michals
authors.forename: E C
authors.initials: EC
authors.lastname: Dainko