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Fig. 4. | Surgical Case Reports

Fig. 4.

From: Thoracoscopic esophagectomy with three-field lymphadenectomy for thoracic esophageal cancer in a patient with a double aortic arch: a report of a case

Fig. 4.

a Intraoperative findings from the right side of the thoracic cavity. The superior right aortic arch and right side of the descending aorta obscured the esophagus and interfered with the normal right thoracic approach. b Intraoperative findings from the left side of the thoracic cavity. We were able to approach the esophagus just below the left aortic arch but could not approach the upper mediastinum or the right side. Postmediastinal reconstruction seemed impossible. Green arrows indicate the left bronchial artery. DAo, descending aorta; Eso, esophagus; Lt./Rt. AoA, left/right aortic arch; LSCA/RSCA, left/right subclavian artery

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