{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T06:10:29Z","timestamp":1696227029718},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T00:00:00Z","timestamp":1408924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The anomaly of intrathoracic large vessels might not only compress the esophagus resulting in dysphagia, but also hinder esophagectomy, even leading to uncontrolled massive hemorrhaging. This paper reviews our experience of seven patients with this diagnosis and their treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2007 through <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2012, among patients admitted with esophageal carcinoma, there were seven patients confirmed to have coexisted intrathoracic vascular anomalies. They were six men and one woman, aged 52 to 63 (mean 58.42). The vascular anomalies included aberrant right subclavian artery (<jats:styled-content style=\"fixed-case\">ARSA<\/jats:styled-content>) in three cases, post\u2010aortic left innominate vein (<jats:styled-content style=\"fixed-case\">PALIV<\/jats:styled-content>) in two cases, and one case each of right aortic arch (<jats:styled-content style=\"fixed-case\">RAA<\/jats:styled-content>) and pseudoaneurysm of aortic isthmus (<jats:styled-content style=\"fixed-case\">PAAI<\/jats:styled-content>). Their diagnosis, surgical strategy, and outcome were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The vascular anomalies were missed by esophagography and endoscopy, but all identified by enhanced chest computed tomography (<jats:styled-content style=\"fixed-case\">CT)<\/jats:styled-content>. Surgery was planned according to the anatomic features of the anomalies. <jats:styled-content style=\"fixed-case\">ARSA<\/jats:styled-content> did not need special management. <jats:styled-content style=\"fixed-case\">RAA<\/jats:styled-content> underwent left thoracotomy in order to dissect the aortopulmonary arterial ligament and to facilitate the mobilization of the esophagus. <jats:styled-content style=\"fixed-case\">PAAI<\/jats:styled-content> had preoperative aortic stenting to prevent unexpected aortic rupture. Prophylactic ligation of thoracic duct was performed on all patients and no postoperative chylothorax was documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The coexistence of intrathoracic vascular malformations with esophageal carcinoma is rare, but easily missed in routine <jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>\u2010ray and endoscopy. Enhanced chest <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> must be performed to confirm. Surgery should be designed individually in consideration of the anatomic features of the vascular anomalies. A routine prophylactic ligation of the thoracic duct is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.12103","type":"journal-article","created":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T05:51:19Z","timestamp":1393307479000},"page":"377-382","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Diagnosis and surgical treatment of esophageal carcinoma with coexistent intrathoracic vascular malformations"],"prefix":"10.1111","volume":"5","author":[{"given":"Zhong\u2010Xi","family":"Niu","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery West China Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery West China Hospital Sichuan University  Chengdu Sichuan 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