A Case Report of a Patient with Right Aortic Arch Complicated the Esophageal Perforation

Introduction: A 73-year-old female patient with right-sided aortic arch and permanent pacemaker installed was brought to Hebei General Hospital because of esophageal perforation at the first esophageal stenosis. Concerns of the patient: She had severe chest pain as well as fever. Despite being treated with fasting, gastrointestinal decompression, anti-inflammation and other methods, but she did not find relief from her pain. Diagnosis: The radiography revealed esophageal perforation at the initial esophageal stenosis. A right-sided aortic arch, anterosuperior mediastinal gas density shadow, and atelectasis of both inferior lobes of the lungs were discovered on a chest CT scan. Intervention: The abscess in the mediastinum was cleaned with surgery, and mediastinal drainage was performed using a thoracoscope. Following the surgery, the patient had underwent ongoing gastric decompression, duodenal feeding, and anti-inflammation therapy. Outcomes: The patient was successfully fed and discharged from the hospital on the 14 postoperative day. Conclusion: The therapeutic management of this condition was hampered by a number of reasons. The most important thing is to identify the major inconsistency, select a good surgical approach, and develop an adequate perioperative care strategy.