A successful rescue with extra-anatomical bypass for massive bleeding of the brachiocephalic artery following salvage pharyngo-esophagectomy
Massive bleeding from large vessels is a serious and life-threatening complication after radical esophagectomy. Here, we present the rare case of patient survival following two episodes of massive bleeding from a tracheo-brachiocephalic artery fistula after salvage surgery for cervical esophageal ca...
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Veröffentlicht in: | Esophagus : official journal of the Japan Esophageal Society 2012-03, Vol.9 (1), p.39-43 |
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creator | Gyobu, Ken Osugi, Harushi Lee, Shigeru Kishida, Satoru Okawa, Masato Iwasaki, Hiroshi Niwa, Yukiko Hashiba, Ryoya Edagawa, Eijiro Ishida, Sachiko Hirai, Hidekazu Suehiro, Shigefumi |
description | Massive bleeding from large vessels is a serious and life-threatening complication after radical esophagectomy. Here, we present the rare case of patient survival following two episodes of massive bleeding from a tracheo-brachiocephalic artery fistula after salvage surgery for cervical esophageal cancer following definitive chemoradiation. During the first episode of bleeding, the damaged part of the brachiocephalic artery was transected with an extra-anatomical arterial bypass (right femoro-axillo artery bypass graft) to maintain the arterial blood flow to the brain and the free jejunal graft. During the second bleeding, the distal stump of the brachiocephalic artery was reclosed. During both episodes of bleeding, the musculocutaneous flap was effectively employed to seal the stumps of the brachiocephalic artery and fill the dead space. Finally, the patient was discharged 351 days after the first surgery. (132/150). |
doi_str_mv | 10.1007/s10388-011-0303-7 |
format | Article |
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(132/150).</description><subject>Case Report</subject><subject>Esophageal cancer</subject><subject>Esophagus</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Throat surgery</subject><subject>Veins & arteries</subject><issn>1612-9059</issn><issn>1612-9067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UMlOwzAQjRBIlOUDuFnibBg7i51jVbFJlbjA2XLdcZIqjYOdtPQf-GhcBcGJ07zRvGX0kuSGwR0DEPeBQSolBcYopJBScZLMWME4LaEQp784L8-TixA2ACnPZDpLvuYkjMZgCHZsicdgRiT7ZqgJfg5eU93pwW0bo1uyOvQ6BGKdJ9sImh2SVYu4brqKOEuGOu5em7pxBvtat40h2g_oD1HStm5_5AXd7nSFJN79oascxeAirtDElMNVcmZ1G_D6Z14m748Pb4tnunx9elnMl9Twkg800xkIAFYYkealsAY5N1pqxJKDkAzXwuq1zMEiyCLjTJaFBC2tLbnBLEsvk9vJt_fuY8QwqI0bfRcjFc_KLBdC5HlksYllvAvBo1W9b7bxb8VAHUtXU-kqlq6OpSsRNXzShMjtKvR_zv-LvgFsX4fR</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Gyobu, Ken</creator><creator>Osugi, Harushi</creator><creator>Lee, Shigeru</creator><creator>Kishida, Satoru</creator><creator>Okawa, Masato</creator><creator>Iwasaki, Hiroshi</creator><creator>Niwa, Yukiko</creator><creator>Hashiba, Ryoya</creator><creator>Edagawa, Eijiro</creator><creator>Ishida, Sachiko</creator><creator>Hirai, Hidekazu</creator><creator>Suehiro, Shigefumi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20120301</creationdate><title>A successful rescue with extra-anatomical bypass for massive bleeding of the brachiocephalic artery following salvage pharyngo-esophagectomy</title><author>Gyobu, Ken ; 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subjects | Case Report Esophageal cancer Esophagus Gastroenterology Gastrointestinal surgery Medicine Medicine & Public Health Surgical Oncology Thoracic Surgery Throat surgery Veins & arteries |
title | A successful rescue with extra-anatomical bypass for massive bleeding of the brachiocephalic artery following salvage pharyngo-esophagectomy |
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