Lesson to be learned: beware of lusoria artery during transhiatal esophagectomy.

Pop, Daniel; Venissac, Nicolas; Nadeemy, Ahmad S; Schneck, Anne-Sophie; Aze, Olivier; Mouroux, Jérôme · Ann Thorac Surg · 2012

case_report · Level V

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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.

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