Thrombosis of the Left Brachiocephalic Vein After Subtotal Esophagectomy with Reconstruction Using a Retrosternally Shifted Gastric Tube: Report of a Case
Abstract:We performed a right transthoracic subtotal esophagectomy with systemic three-field lymph node dissection, followed by reconstruction with a gastric tube shifted retrosternally into the left side of the neck, for esophageal cancer in a 62-year-old woman. The patient had an uneventful postoperative course until postoperative day (POD) 9, when a venous thrombosis originating from the left brachiocephalic vein and elongating to the left subclavian vein was detected occasionally on computed tomography scans, altho… Show more
“…UEDVT after esophagectomy has rarely been reported. Maeda et al reported a case of venous thrombosis in the left brachiocephalic vein after esophagectomy with retrosternal reconstruction using a gastric tube [15]. The authors speculated that the main cause of the thrombosis was compression of the left brachiocephalic vein by the retrosternally shifted gastric tube.…”
Retrosternal reconstruction can be a risk factor for UEDVT. In patients with small width of the retrosternal space, retrosternal reconstruction might be inappropriate.
“…UEDVT after esophagectomy has rarely been reported. Maeda et al reported a case of venous thrombosis in the left brachiocephalic vein after esophagectomy with retrosternal reconstruction using a gastric tube [15]. The authors speculated that the main cause of the thrombosis was compression of the left brachiocephalic vein by the retrosternally shifted gastric tube.…”
Retrosternal reconstruction can be a risk factor for UEDVT. In patients with small width of the retrosternal space, retrosternal reconstruction might be inappropriate.
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