Aberran Sağ Subklavyen Arter Sendromu ve Kronik Öksürük
Küçük Resim Yok
Tarih
2013
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Aberran sağ subklavyen arter (ASSA) nadir görülen ve genellikle asemptomatik bir seyir gösteren konjenital bir anomalidir. Erişkin ASSA'lı hastalarda en sık karşılaşılan yakınma yutma güçlüğü olduğu için "disfaji lusoria" olarak ta adlandırılmaktadır. Solunum yakınmaları ise çok daha nadirdir. Gereç ve Yöntem: Bu çalışmada kliniğimizde çeşitli solunumsal patolojiler nedeniyle tetkik edilirken ASSA saptanan 8 hasta incelenmiştir. Bulgular: Hastalardan 3'ünde ASSA ile ilişkili yutma güçlüğü yakınması, bu hastaların 2'sinde ise yutma güçlüğüne eşlik eden kronik öksürük saptanmıştır. Mediastinal kitle şüphesiyle sevk edilen bir hastada ise kontrastlı bilgisayarlı tomografi ile ASSA tanısı konulmuştur. Semptomatik hastalarda diyet ve antireflü tedaviyle yakınmalarda olumlu sonuçlar elde edilmiştir. Sonuç: Özellikle yutma güçlüğünün eşlik ettiği kronik öksürüklü hastalarda ASSA nadir karşılaşılan öksürük nedenlerden biri olarak, ayırıcı tanıda yer almalıdır
Aim: Aberrant right subclavian artery (ARSA) is a rare congenital abnormality, generally having an asymptomatic course. It is also called “dysphagia lusoria”, and the most frequent symptom is dysphagia in adult patients with ARSA. Respiratory symptoms are even rarer in this entity. Materials and Methods: In this study, we evaluated eight patients coincidentally diagnosed during examination for a respiratory pathology. Results: In three of the patients, dysphagia was related to ARSA, and in two patients, chronic cough accompanying dysphagia was determined. In a patient referred to our department for a mediastinal mass, a diagnosis of ARSA was made by contrasted chest CT scan. Symptomatic patients were successfully treated with antireflux medication and dietary changes. Conclusion: ARSA should be included in the differential diagnosis of cough, especially in patients with chronic cough accompanied by dysphagia
Aim: Aberrant right subclavian artery (ARSA) is a rare congenital abnormality, generally having an asymptomatic course. It is also called “dysphagia lusoria”, and the most frequent symptom is dysphagia in adult patients with ARSA. Respiratory symptoms are even rarer in this entity. Materials and Methods: In this study, we evaluated eight patients coincidentally diagnosed during examination for a respiratory pathology. Results: In three of the patients, dysphagia was related to ARSA, and in two patients, chronic cough accompanying dysphagia was determined. In a patient referred to our department for a mediastinal mass, a diagnosis of ARSA was made by contrasted chest CT scan. Symptomatic patients were successfully treated with antireflux medication and dietary changes. Conclusion: ARSA should be included in the differential diagnosis of cough, especially in patients with chronic cough accompanied by dysphagia
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Solunum
WoS Q Değeri
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Cilt
15
Sayı
1
