The presence of an asymptomatic aberrant right subclavian artery: A potential risk factor in esophageal surgery?

Radiology Case Reports

De-Hua Chang, MD¹  Felix Berlth, MD²  Seung-Hun Chon, MD²  Stefan P. Mönig, MD³ 

[1] Department of Diagnostic and Interventional Radiology, University of Cologne, Cologne, Germany;Department of General, Visceral and Cancer Surgery, University of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany;Surgery Department, Geneva University Hospitals, Geneva, Switzerland;

关键词: Right subclavian artery;    Arteria lusoria;    Arterial-esophageal fistula;    Esophagectomy;   

DOI  :  10.1016/j.radcr.2017.10.004

来源: DOAJ

【 摘 要 】

Bleeding of an aberrant right subclavian artery following transthoracic en bloc esophagectomy and intrathoracic gastric reconstruction is a rare but severe complication in esophageal surgery. Preoperative diagnosis can be achieved by computed tomography or magnetic resonance angiography (MRA). Various treatment options are available; thus, the treatment can be challenging and should be adjusted to the severity of the symptoms. Bleeding of an aberrant right subclavian artery can result from perioperative vascular injury or various postoperative complications. We report about a case of a patient with esophageal cancer and an asymptomatic, simultaneously existing aberrant right subclavian artery. The patient underwent a successful conventional Ivor-Lewis esophageal resection without any life-threatening bleeding. Early detection and intraoperative identification was of major importance for successful surgery.

【 授权许可】

Unknown