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Ann Thorac Surg 2008;85:326-328. doi:10.1016/j.athoracsur.2007.06.039
© 2008 The Society of Thoracic Surgeons
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Case Reports

Ivor Lewis Esophagectomy in a Patient With Enlarged Azygos Vein: A Lesson to Learn

Antonio Martín-Malagón, MD*, Alberto Bravo, PhD, Iván Arteaga, PhD, Lucrecia Rodríguez, MD, Fernando Estévez, MD, Antonio Alarcó, PhD

Department of General Surgery, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Canary Islands, Spain

Accepted for publication June 13, 2007.

* Address correspondence to Dr Martín-Malagón, Pedro Modesto Campos 4, 4A. Santa Cruz de Tenerife, Islas Canarias, 38003, Spain (Email: ammalagon{at}hotmail.com).

We report the case of a 62-year-old patient with congenital interruption of the inferior vena cava and azygos continuation who required transthoracic esophagectomy to remove a tumor in the middle esophagus. The consequences of dividing an enlarged azygos vein in this kind of patient are reported and discussed.






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Copyright © 2008 by The Society of Thoracic Surgeons.