scholarly journals Semi-Prone Thoracoscopic Esophagectomy for Esophageal Carcinoma with Aberrant Right Subclavian Artery and Non-Recurrent Inferior Laryngeal Nerve: A Case Report

2021 ◽  
Author(s):  
Kazunori Koyama ◽  
Toru Watanabe ◽  
Hideaki Kato ◽  
Masahiko Kawaguchi
Keyword(s):  
Esophageal Carcinoma ◽  
Subclavian Artery ◽  
Endoscopic Examination ◽  
Laryngeal Nerve ◽  
Thoracoscopic Esophagectomy ◽  
Aberrant Right Subclavian Artery ◽  
Uneventful Recovery ◽  
Esophageal Tumor ◽  
Inferior Laryngeal Nerve ◽  
Case Presentation

Abstract Background Aberrant right subclavian artery (ARSA) accompanied by non-recurrent inferior laryngeal nerve (NRILN) is a rare anomaly. In cases of thoracic esophageal carcinoma associated with ARSA and NRILN, surgeons must take extra care not to injury these vessels and nerves. We believe semi-prone thoracoscopic esophagectomy to be a surgical approach that can safely deal with such an anomaly. Case presentation: A 70-year-old man complained of feelings of chest constriction. Endoscopic examination revealed an esophageal tumor and computed tomography showed an ARSA. we performed semi-prone thoracoscopic esophagectomy for case with ARSA and NRILN. We identified these anomalies during esophagectomy, and we could complete surgery without injury these vessels and nerves. The patient had an uneventful recovery and discharged 22 days after surgery. Conclusions Semi-prone thoracoscopic esophagectomy for esophageal carcinoma can be performed safely with a wide operative field, and is an excellent procedure for dissecting esophageal carcinoma in patients with ARSA and NRILN.

scholarly journals Repair of a type B aortic dissection with a re-vascularization of the aberrant right subclavian artery in an adult patient

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mahmoud Yousef Ibrahim Abuharb ◽  
Bian Xiao Ming ◽  
He Jian
Keyword(s):  
Aortic Dissection ◽  
Subclavian Artery ◽  
Incidental Finding ◽  
Aberrant Right Subclavian Artery ◽  
Uneventful Recovery ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Case Presentation ◽  
Therapeutic Implications ◽  
Aortic Branch

Abstract Background An aberrant right subclavian artery which arises from the proximal descending aorta may result in aortic dissection. The dissection may occur at either the site of the primary intimal tear or from an aortic branch. These conditions may lead to blood flow limitation and possible aneurysmal degeneration in the future. Case presentation We described the clinical presentation and management of a 54-year old patient diagnosed with a rare case of an aberrant right subclavian artery with Stanford Type B aortic dissection. A hybrid surgical approach was successfully performed and the patient had an uneventful recovery. Conclusion Even though aortic dissection is often an incidental finding, this case highlighted that in rare situations, it can be associated with an aberrant right subclavian artery. It is important to disseminate this association as it has profound diagnostic and therapeutic implications in safeguarding the clinical outcomes of patients with such condition.

scholarly journals Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuta Sato ◽  
Yoshihiro Tanaka ◽  
Takeharu Imai ◽  
Yuji Hatanaka ◽  
Naoki Okumura ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Blood Vessel ◽  
Vertebral Artery ◽  
Subclavian Artery ◽  
Anatomical Variation ◽  
Laryngeal Nerve ◽  
Thoracoscopic Esophagectomy ◽  
Case Presentation ◽  
Surgical Field ◽  
The Right

Abstract Background Variation of the vertebral artery bifurcation is rare. This branching abnormality can cause unexpected vertebral artery damage and bleeding during thoracoscopic esophagectomy. There are few reports of abnormal branching of the vertebral artery associated with neurosurgery but none related to esophagectomy. We report the case together with the results of the evaluation of vertebral artery bifurcation and length in 50 patients with esophageal cancer in our hospital. Case presentation Thoracoscopic esophagectomy was performed on a 70-year-old patient with esophageal cancer. During lymph node dissection around the right reccurent laryngeal nerve, an unusual blood vessel was found running along the right subclavian artery. We determined this blood vessel to be the right vertebral artery branching far more centrally than usual. Because this anatomical abnormality was clarified, we could then recognize that the right reccurent laryngeal nerve coursed around the right vertebral artery and the right subclavian artery and thus was running in a larger arch than usual. Conclusion Long right vertebral artery may appear in the surgical field of the thoracoscopic esophagectomy. Knowledge of such anatomical variation is important to prevent iatrogenic injury of the right vertebral artery and the right reccurent laryngeal nerve.

Successful esophageal carcinoma resection with intraoperative neuromonitoring in a patient with non-recurrent inferior laryngeal nerve

Esophagus ◽  
2015 ◽  
Vol 13 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Kotaro Yamashita ◽  
Hiroshi Miyata ◽  
Takashi Kanemura ◽  
Yasuhiro Miyazaki ◽  
Tomoki Makino ◽  
...  
Keyword(s):  
Esophageal Carcinoma ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve

scholarly journals A Case of Esophageal Carcinoma with Aberrant Right Subclavian Artery

2013 ◽  
Vol 74 (10) ◽  
pp. 2755-2760
Author(s):  
Tomohide TAMACHI ◽  
Isamu HOSHINO ◽  
Tsuguaki KONO ◽  
Yasunori AKUTSU ◽  
Hisahiro MATSUBARA
Keyword(s):  
Esophageal Carcinoma ◽  
Subclavian Artery ◽  
Aberrant Right Subclavian Artery

scholarly journals The Nonrecurrent Laryngeal Nerve Without Abnormal Subclavian Artery: Report of Two Cases and Review of the Literature

2021 ◽  
pp. 014556132110565
Author(s):  
Ying Lu ◽  
ChengHui Deng ◽  
Ning Lan ◽  
PinXiu Wang ◽  
HuaZe Xi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Vagus Nerve ◽  
Subclavian Artery ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Inferior Laryngeal Nerve ◽  
Review Of The Literature ◽  
Nonrecurrent Inferior Laryngeal Nerve ◽  
Nonrecurrent Laryngeal Nerve ◽  
Neural Monitoring

As a variant of recurrent inferior laryngeal nerve (RILN), the nonrecurrent inferior laryngeal nerve (NRILN) is closely related to the occurrence of abnormal subclavian artery (ASA). The nonrecurrent inferior laryngeal nerve has been found in patients without arterial abnormalities, which is seen in the coexistence of NRILN and RILN, but it is easily confused with sympathetic-inferior laryngeal anastomosis branch (SILAB). We encountered 2 right NRILN patients without ASA during thyroid surgery. This article summarizes the characteristics of these cases and proposes methods to distinguish the coexistence of NRILN and RILN from SILAB. So far, 11 articles have reported 16 cases of NRILN without arterial abnormalities. In patients without artery abnormality, the vagus nerve could send out a descending branch NRILN at the bifurcation of the carotid artery and enter the larynx after anastomosis with RILN. Adequate dissection of the carotid sheath may avoid confusion with SILAB, and neural monitoring is also expected to provide a reference for the identification.

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