title: Curative resection of esophageal cancer with a double aortic arch.
abstract: Thoracic esophageal cancer with a double aortic arch is extremely rare. We herein report the case of a 63-year-old man with a double aortic arch who underwent an esophagectomy with a three-field lymphadenectomy for cancer in the lower thoracic esophagus. In such cases, it is important to recognize the relationship between the right and left aortic arches and the bilateral recurrent laryngeal nerves (RLNs). We were able to accurately understand the anatomical position of the RLNs using a precedent cervical procedure with partial resection of the manubrium to remove the nodes along the bilateral RLNs.
authors.affiliation: Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi, 464-8681, Japan, nuemura@aichi-cc.jp.
authors.forename: Norihisa
authors.initials: N
authors.lastname: Uemura
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Abe
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kawai
authors.forename: Seiji
authors.initials: S
authors.lastname: Ito
authors.forename: Koji
authors.initials: K
authors.lastname: Komori
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Senda
authors.forename: Kazunari
authors.initials: K
authors.lastname: Misawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ito
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shimizu
authors.forename: Masayuki
authors.initials: M
authors.lastname: Shinoda
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012009:Recurrent Laryngeal Nerve / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D000077195:Squamous Cell Carcinoma of Head and Neck; D014057:Tomography, X-Ray Computed