Transcatheter arterial embolization for delayed recurrent intrathoracic bleeding caused by anastomotic leakage after minimally invasive McKeown esophagectomy

Abstract

Background: Anastomotic leakage (AL) is a serious complication after minimally invasive esophagectomy (MIE). Its development into delayed recurrent intrathoracic bleeding is very rare and may lead to fatal consequences.Case presentation: We report a case of 67-year-old female who developed intrapleural infection, mediastinal infection and delayed recurrent intrathoracic bleeding as a complication of AL following minimally invasive McKeown esophagectomy. The triple antibiotics of imipenem and cilastatin sodium, vancomycin, and fluconazole were used for anti-infection treatment. Transcatheter embolization of subclavian artery branch vessel avoided re-bleeding. As a result, the patient recovered well and was discharged 58 days after initial surgery.Conclusion: Delayed recurrent intrathoracic bleeding owing to AL is a rare and life-threatening complication after MIE. Transcatheter arterial embolization (TAE) can provide a minimally invasive and effective method to control delayed recurrent intrathoracic bleeding after esophagectomy.