Iatrogenic thoracic aortic injury in esophagectomy – a case report and literature review

2019 ◽  
Vol 98 (6) ◽  
pp. 256-259
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Thoracic Aorta ◽  
Aortic Rupture ◽  
Hypovolemic Shock ◽  
Left Lung ◽  
Aortic Injury ◽  
Thoracoscopic Esophagectomy ◽  
Neoadjuvant Radiochemotherapy ◽  
Thoracic Aortic Injury

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.

scholarly journals Blunt Traumatic Aortic Injury: 10-Year Single-Center Experience

Aorta ◽  
2021 ◽  
Author(s):  
Ahmet Can Topcu ◽  
Kamile Ozeren-Topcu ◽  
Ahmet Bolukcu ◽  
Sinan Sahin ◽  
Avni U. Seyhan ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Subclavian Artery ◽  
Open Repair ◽  
Left Subclavian Artery ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Phone Calls ◽  
Primary Treatment Modality ◽  
Thoracic Aortic Injury

Abstract Objective In blunt trauma patients, injury of the thoracic aorta is the second most common cause of death after head injury. In recent years, thoracic endovascular aortic repair (TEVAR) has largely replaced open repair as the primary treatment modality, and delayed repair of stable aortic injuries has been shown to improve mortality. In light of these major advancements, we present a 10-year institutional experience from a tertiary cardiovascular surgery center. Methods Records of patients who underwent endovascular or open repair of the ascending, arch or descending thoracic aorta between January 2009 and December 2018 were retrospectively analyzed. Patients without blunt traumatic etiology were excluded. Perioperative data were retrospectively collected from patient charts. Long-term follow-up was performed via data from follow-up visits and phone calls. Results A total of 1,667 patients underwent 1,740 thoracic aortic procedures (172 TEVAR and 1,568 open repair). There were 13 patients (12 males) with a diagnosis of blunt thoracic aortic injury. Mean patient age was 43.6 years (range, 16–80 years). Ten (77%) patients underwent TEVAR, two (15.4%) underwent open repair, and one (7.7%) was treated nonoperatively. Procedure-related stroke was observed in one (7.7%) case. Procedure-related paraplegia did not occur in any patients. Left subclavian artery origin was covered in seven patients. None developed arm ischemia. Hospital survivors were followed-up for an average of 60.2 months (range, 4–115 months) without any late mortality, endoleak, stent migration, arm ischemia, or reintervention. Conclusion Blunt thoracic aortic injury is a rare but highly fatal condition. TEVAR offers good early and midterm results. Left subclavian artery coverage can be performed without major complications.

Endovascular Stent-Graft Placement for Thoracic Aortic Injury: Case Report

2001 ◽  
Vol 51 (3) ◽  
pp. 587-590 ◽  
Author(s):  
Susumu Yamashita ◽  
Hiroshi Nishimaki ◽  
Zong Bo Lin ◽  
Hiroshi Imai ◽  
Ken Kumagai ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Graft ◽  
Aortic Injury ◽  
Endovascular Stent ◽  
Endovascular Stent Graft ◽  
Graft Placement ◽  
Thoracic Aortic Injury

scholarly journals Open stent graft repair with upper-half Sternotomy for blunt thoracic aortic injury: a case report

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Toshinori Komatsu ◽  
Tamaki Takano ◽  
Hiromu Kehara ◽  
Megumi Fuke ◽  
Takamitsu Terasaki ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Graft ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury ◽  
Stent Graft Repair ◽  
Open Stent

scholarly journals Ovarian Injury with Blunt Thoracic Aortic Injury^|^mdash;A Case Report^|^mdash;

2013 ◽  
Vol 74 (7) ◽  
pp. 1993-1996
Author(s):  
Toshiho TENGAN ◽  
Akio NAKASU ◽  
Toru ISHIMINE ◽  
Takahiro MURAKAMI ◽  
Hiroshi YASUMOTO ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury

scholarly journals Pancreatic pseudoaneurysm and its conundrum

2021 ◽  
Vol 8 (12) ◽  
pp. 3745
Author(s):  
Girish Bakhshi ◽  
Sushrut Baligar ◽  
Aishwarya Dutt ◽  
Rajalakshmi Venkateswaran ◽  
Avinash Gutte ◽  
...  
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Coil Embolization ◽  
Hypovolemic Shock ◽  
Visceral Artery ◽  
Review Of Literature ◽  
Invasive Treatment ◽  
Pancreaticoduodenal Artery ◽  
Artery Pseudoaneurysm ◽  
Treatment Techniques

Rupture of visceral artery pseudoaneurysm can lead to hypovolemic shock in a patient with pancreatitis. With the advent of minimally invasive treatment techniques most of these can be managed by minimally invasive route and have excellent prognosis when timely intervention is initiated. Herewith, we reported a case of ruptured pseudoaneurysm of superior pancreaticoduodenal artery in a patient with pancreatitis who presented with haematemesis. The patient was successfully managed with coil embolization. A brief case report with review of literature is presented here.

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