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Ann Thorac Surg 1999;68:2341-2342
© 1999 The Society of Thoracic Surgeons

Case Reports

Transhiatal esophagectomy in a patient with aberrant right subclavian artery

R. Thomas Temes, MDa, Michael J. Tullis, MDb, Patty Lee, MDc, Jorge A. Wernly, MDa

a Multi-Disciplinary Esophageal Diseases Clinic, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
b Division of Vascular Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
c Division of Otolaryngology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA

Address reprint requests to Dr Temes, Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109-1998
e-mail: ttemesr{at}cccf.org

During transhiatal esophagectomy, the esophagus is generally safely and easily dissected posteriorly. However, in 1% to 2% of patients, an aberrant right subclavian artery passes between the esophagus and spine. We demonstrate that transhiatal esophagectomy may be safely performed in these patients when recognition and careful dissection are performed. Thoracic surgeons must be aware of this anomaly in order to prevent laceration of the aberrant right subclavian artery with catastrophic hemorrhage.






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Copyright © 1999 by The Society of Thoracic Surgeons.