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Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report

BACKGROUND: Variation of the vertebral artery bifurcation is rare. This branching abnormality can cause unexpected vertebral artery damage and bleeding during thoracoscopic esophagectomy. There are few reports of abnormal branching of the vertebral artery associated with neurosurgery but none relate...

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Autores principales: Sato, Yuta, Tanaka, Yoshihiro, Imai, Takeharu, Hatanaka, Yuji, Okumura, Naoki, Matsuhashi, Nobuhisa, Takahashi, Takao, Yoshida, Kazuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077890/
https://www.ncbi.nlm.nih.gov/pubmed/33906625
http://dx.doi.org/10.1186/s12893-021-01216-0
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author Sato, Yuta
Tanaka, Yoshihiro
Imai, Takeharu
Hatanaka, Yuji
Okumura, Naoki
Matsuhashi, Nobuhisa
Takahashi, Takao
Yoshida, Kazuhiro
author_facet Sato, Yuta
Tanaka, Yoshihiro
Imai, Takeharu
Hatanaka, Yuji
Okumura, Naoki
Matsuhashi, Nobuhisa
Takahashi, Takao
Yoshida, Kazuhiro
author_sort Sato, Yuta
collection PubMed
description BACKGROUND: Variation of the vertebral artery bifurcation is rare. This branching abnormality can cause unexpected vertebral artery damage and bleeding during thoracoscopic esophagectomy. There are few reports of abnormal branching of the vertebral artery associated with neurosurgery but none related to esophagectomy. We report the case together with the results of the evaluation of vertebral artery bifurcation and length in 50 patients with esophageal cancer in our hospital. CASE PRESENTATION: Thoracoscopic esophagectomy was performed on a 70-year-old patient with esophageal cancer. During lymph node dissection around the right reccurent laryngeal nerve, an unusual blood vessel was found running along the right subclavian artery. We determined this blood vessel to be the right vertebral artery branching far more centrally than usual. Because this anatomical abnormality was clarified, we could then recognize that the right reccurent laryngeal nerve coursed around the right vertebral artery and the right subclavian artery and thus was running in a larger arch than usual. CONCLUSION: Long right vertebral artery may appear in the surgical field of the thoracoscopic esophagectomy. Knowledge of such anatomical variation is important to prevent iatrogenic injury of the right vertebral artery and the right reccurent laryngeal nerve.
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spelling pubmed-80778902021-04-29 Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report Sato, Yuta Tanaka, Yoshihiro Imai, Takeharu Hatanaka, Yuji Okumura, Naoki Matsuhashi, Nobuhisa Takahashi, Takao Yoshida, Kazuhiro BMC Surg Case Report BACKGROUND: Variation of the vertebral artery bifurcation is rare. This branching abnormality can cause unexpected vertebral artery damage and bleeding during thoracoscopic esophagectomy. There are few reports of abnormal branching of the vertebral artery associated with neurosurgery but none related to esophagectomy. We report the case together with the results of the evaluation of vertebral artery bifurcation and length in 50 patients with esophageal cancer in our hospital. CASE PRESENTATION: Thoracoscopic esophagectomy was performed on a 70-year-old patient with esophageal cancer. During lymph node dissection around the right reccurent laryngeal nerve, an unusual blood vessel was found running along the right subclavian artery. We determined this blood vessel to be the right vertebral artery branching far more centrally than usual. Because this anatomical abnormality was clarified, we could then recognize that the right reccurent laryngeal nerve coursed around the right vertebral artery and the right subclavian artery and thus was running in a larger arch than usual. CONCLUSION: Long right vertebral artery may appear in the surgical field of the thoracoscopic esophagectomy. Knowledge of such anatomical variation is important to prevent iatrogenic injury of the right vertebral artery and the right reccurent laryngeal nerve. BioMed Central 2021-04-27 /pmc/articles/PMC8077890/ /pubmed/33906625 http://dx.doi.org/10.1186/s12893-021-01216-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Sato, Yuta
Tanaka, Yoshihiro
Imai, Takeharu
Hatanaka, Yuji
Okumura, Naoki
Matsuhashi, Nobuhisa
Takahashi, Takao
Yoshida, Kazuhiro
Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
title Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
title_full Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
title_fullStr Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
title_full_unstemmed Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
title_short Esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
title_sort esophageal cancer with right vertebral artery variation observed during thoracoscopic esophagectomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077890/
https://www.ncbi.nlm.nih.gov/pubmed/33906625
http://dx.doi.org/10.1186/s12893-021-01216-0
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