Minimally Invasive Esophagectomy in a Patient With Tetralogy of Fallot and Right-Sided Aortic Arch Michael J. Thomas, MD, Heather L. Bartlett, MD, Michael F. Bassetti, MD, Sam J. Lubner, MD, Georgios Kirvassilis, MD, Petros V. Anagnostopoulos, MD, MBA, James D. Maloney, MD, Ryan A. Macke, MD The Annals of Thoracic Surgery Volume 103, Issue 1, Pages e77-e79 (January 2017) DOI: 10.1016/j.athoracsur.2016.06.092 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
Fig 1 Axial computed tomographic images demonstrating (A) right-sided aortic arch (arrow) and (B) enlarged left main pulmonary artery (arrow). Axial positron emission tomography–computed tomography image of gastroesophageal junction tumor (C) before neoadjuvant therapy (arrow) and (D) after treatment (arrow). The Annals of Thoracic Surgery 2017 103, e77-e79DOI: (10.1016/j.athoracsur.2016.06.092) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
Fig 2 Intraoperative views showing (A) posterior mediastinum with pericardium (P) to the left, spine (S) to the right, and absent left-sided aorta (arrow); (B) subcarinal lymph nodes (LN), left main bronchus (MB), enlarged left main pulmonary artery (PA), and supreme intercostal vein (ICV); (C) right-sided aorta (RA), thoracic duct (TD), and spine (S) after specimen removed; and (D) completed anastomosis with left-facing gastroepiploic arcade. The Annals of Thoracic Surgery 2017 103, e77-e79DOI: (10.1016/j.athoracsur.2016.06.092) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions