scholarly journals Pseudo-aneurysm of the Peripheral Pulmonary Artery Related to a Traumatic Injury by Insertion of the Port during Thoracoscopic Esophagectomy—A Case Report—

Author(s):  
Takeo BAMBA ◽  
Satoru NAKAGAWA ◽  
Masaki AIZAWA ◽  
Atsushi MATSUKI ◽  
Hiroshi YABUSAKI ◽  
...  
2019 ◽  
Vol 98 (6) ◽  
pp. 256-259

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.


2019 ◽  
Vol 10 (3) ◽  
pp. 13-14
Author(s):  
Manohar B Kachare ◽  
◽  
Vijay C Nalpe ◽  
Ravi Raval ◽  
◽  
...  

1998 ◽  
Vol 48 (3) ◽  
pp. 215-218
Author(s):  
Masao Suzuki ◽  
Akio Ohtaki ◽  
Shigeru Ohki ◽  
Takashi Ibe ◽  
Jun Murakami ◽  
...  

2010 ◽  
Vol 25 (1) ◽  
pp. 29-31 ◽  
Author(s):  
Yulong Hou ◽  
Zhenya Shen ◽  
Wei Gao ◽  
Wenxue Ye

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