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.
MeSH terms
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Aged
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Carcinoma, Squamous Cell / pathology
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Carcinoma, Squamous Cell / surgery*
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Diaphragm / surgery
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Emergencies
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Esophageal Fistula / etiology*
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Esophageal Fistula / surgery
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Esophageal Neoplasms / pathology
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Esophageal Neoplasms / surgery*
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Esophagectomy / adverse effects*
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Esophagectomy / methods*
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Fatal Outcome
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Hematemesis / diagnostic imaging
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Hematemesis / etiology
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Hematemesis / surgery
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Hemostasis, Surgical / methods
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Humans
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Male
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Mediastinoscopy / methods
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Neoplasm Invasiveness
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Neoplasm Staging
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / surgery
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Preoperative Care / methods
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Reoperation
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Risk Assessment
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Subclavian Artery / abnormalities*
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Tomography, X-Ray Computed / methods
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Vascular Fistula / etiology*
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Vascular Fistula / surgery