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Esophagectomy in a patient with double aortic arch and right descending aorta

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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… Click to show full 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.

Keywords: arch right; double aortic; esophagectomy patient; aortic arch; descending aorta

Journal Title: Asian Cardiovascular and Thoracic Annals
Year Published: 2019

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