Lesson to be learned: beware of lusoria artery during transhiatal esophagectomy.
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.
Department of Thoracic Surgery, Pasteur Hospital, Nice, France. danielpopch@yahoo.com
Daniel
D
Pop
Nicolas
N
Venissac
Ahmad S
AS
Nadeemy
Anne-Sophie
AS
Schneck
Olivier
O
Aze
Jérôme
J
Mouroux
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D003964:Diaphragm / Q000601:surgery; D004630:Emergencies; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects* / Q000379:methods*; D017809:Fatal Outcome; D006396:Hematemesis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D008481:Mediastinoscopy / Q000379:methods; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D012086:Reoperation; D018570:Risk Assessment; D013348:Subclavian Artery / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery