1. Lesson to be learned: beware of lusoria artery during transhiatal esophagectomy.
- Author
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Pop D, Venissac N, Nadeemy AS, Schneck AS, Aze O, and Mouroux J
- Subjects
- Aged, Carcinoma, Squamous Cell pathology, Diaphragm surgery, Emergencies, Esophageal Fistula surgery, Esophageal Neoplasms pathology, Fatal Outcome, Hematemesis diagnostic imaging, Hematemesis etiology, Hematemesis surgery, Hemostasis, Surgical methods, Humans, Male, Mediastinoscopy methods, Neoplasm Invasiveness, Neoplasm Staging, Postoperative Complications diagnostic imaging, Postoperative Complications surgery, Preoperative Care methods, Reoperation, Risk Assessment, Tomography, X-Ray Computed methods, Vascular Fistula surgery, Carcinoma, Squamous Cell surgery, Esophageal Fistula etiology, Esophageal Neoplasms surgery, Esophagectomy adverse effects, Esophagectomy methods, Subclavian Artery abnormalities, Vascular Fistula etiology
- Abstract
The presence of an aberrant right subclavian artery represents a potentially risky situation when high mediastinal surgery is planned. We report a case of a patient needing transhiatal esophagectomy for cancer; the presence of the abnormal anatomic arterial situation complicated the postoperative course, when a vascular- digestive fistula appears. We discuss the direct causes and consequences of a rare situation., (Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2012
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