Curative resection of esophageal cancer with a double aortic arch

General Thoracic and Cardiovascular Surgery - Tập 63 - Trang 116-119 - 2014
Norihisa Uemura1, Tetsuya Abe1, Ryosuke Kawai1, Seiji Ito1, Koji Komori1, Yoshiki Senda1, Kazunari Misawa1, Yuichi Ito1, Yasuhiro Shimizu1, Masayuki Shinoda1
1Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan

Tóm tắt

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.

Tài liệu tham khảo

Matono S, Fujita H, Tanaka T, Tanaka Y, Nagano T, Nishimura K, et al. Esophagectomy for thoracic esophageal cancer with a double aortic arch: report of a case. Surg today. 2011;41:1150–5. Shah RK, Mora BN, Bacha E, Sena LM, Buonomo C, Del Nido P, et al. The presentation and management of vascular rings: an otolaryngology perspective. Int J Pediatr Otorhinolaryngol. 2007;71:57–62. Tachimori Y, Nagai Y, Kanamori N, Hokamura N, Igaki H. Pattern of lymph node metastases of esophageal squamous cell carcinoma based on the anatomical lymphatic drainage system. Dis Esophagus. 2011;24:33–8. Matsubara T, Ueda M, Nagao N, Takahashi T, Nakajima T, Nishi M. Cervicothoracic approach for total mesoesophageal dissection in cancer of the thoracic esophagus. J Am Coll Surg. 1988;187:238–45. Kubo N, Ohira M, Yamashita Y, Sakurai K, Tanaka H, Muguruma K, et al. Successful resection of esophageal carcinoma associated with double aortic arch: a case report. Anticancer Res. 2012;32:3351–5.