AN 85-YEAR-OLD–MALE PATIENT WITH TRACHEOESOPHAGEAL COMPRESSION DUE TO A RIGHT-SIDED AORTIC ARCH SA⁄ YERLEfi‹ML‹ AORT‹K ARKUS NEDEN‹YLE TRAKEOÖZAFAG‹AL KOMPRESYONU OLAN 85 YAfiINDAK‹ HASTA

85 yafl›nda erkek hasta nefes darl›¤› ve yutma güçlü¤ü flikayetleriyle baflvurdu. Hasta egsersizle uyar›lan ast›m ve hipertansiyon öyküsüne sahipti. Gö¤üs grafisinde bilateral plevral efüzyon saptand›. Hastan›n klinik ve radyolojik incelemesi konjestif kalp yetmezli¤iyle uyumluydu. Hastan›n flikayetleri yeterli diüretik tedavi sonras› plevral s›v›n›n kaybolmas›na ra¤men tamamiyle düzelmedi, bu nedenle manyetik rezonans görüntüleme yap›ld›. Bu inceleme trakeoözafagial bas› gösteren retroözafagial segmentli sa¤ aortik arkus ve ayr›ca kommerel divertikülünden geliflen aberran subklavyan arteri ortaya ç›kard›. Bronkoskopisinde trakean›n 1/3 alt bölümünde sa¤ aortik arkdan kaynaklanan trakeal stenoz ve trakeomalazi gözlendi. Bilgimize gore, bu olgu bugüne kadar semptomatik prezentasyona sahip olup rapor edilen en yafll› hastad›r. Anahtar Sözcükler: Ast›m; Dispne; Disfaji; Yafll›; Sa¤ Yerleflimli Arkus Aorta. ABSTRACT An 85 year-old male was admitted to the hospital with shortness of breath and dysphagia. He had a history of exercise-induced asthma and hypertension. Chest x-ray showed bilateral pleural effusions. The patient's clinical and radiological examination results were indicative of congestive heart failure. The patient’s complaints did not resolve completely although pleurisy disappeared after optimal diuretic therapy; therefore, magnetic resonance imaging was performed. The scan revealed a right-sided aortic arch with the retroesophageal segment causing tracheoesophageal compression and also disclosed aberrant subclavian artery anomalies with Kommerell’s diverticulum. His bronchoscopic examination showed right aortic arch-induced tracheal stenosis in the lower one-third of the trachea and tracheomalacia. To our knowledge, this is the oldest patient reported with symptomatic presentation.