Esophagectomy in a patient with double aortic arch and right descending aorta. (March 2019)

• Record Type: Journal Article
• Authors: Clement, Elizabeth A; Laing, Bryce; Turner, Simon R
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 27:Number 3(2019)
• Page Start: 226
• Page End: 227
• Publication Date: 2019-03
• Subjects: Aorta -- thoracic -- Esophageal neoplasms -- Esophagectomy -- Vascular ring.; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318815375
• Languages: English
• ISSNs: 0218-4923

Abstract

We herein report the case of a 57-year-old man with esophageal cancer who was found to have a double aortic arch and right-sided descending aorta. Traditional approaches such as the Ivor Lewis and McKeown were excluded because the descending aorta would obscure the surgical field, and a neck anastomosis with the conduit through the ring could result in compression. We therefore opted for a left thoracoabdominal incision, allowing excellent exposure while reserving the possibility of placing the conduit substernally.