Document Detail

Thrombosis of the left brachiocephalic vein after subtotal esophagectomy with reconstruction using a retrosternally shifted gastric tube: Report of a case.
MedLine Citation:
PMID:  17243035     Owner:  NLM     Status:  MEDLINE    
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, although there were no clinical symptoms. The left brachiocephalic vein seemed narrowed by compression from the reconstructed gastric tube, and this was considered the cause of the thrombosis. The patient was commenced on thrombolytic therapy, using urokinase, and on anticoagulation therapy, using heparin and warfarin. The thrombus had disappeared completely by POD 38. The anticoagulation therapy was continued for 6 months and no recurrence of the thrombosis has been detected in the 4 months since its completion.
Masato Maeda; Toshihiko Goto; Eiji Yamamura; Motoko Harigai; Fujimasa Tada; Masayuki Nakau; Takenao Idezawa; Tadashi Miyashita
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-01-25
Journal Detail:
Title:  Surgery today     Volume:  37     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2007  
Date Detail:
Created Date:  2007-01-23     Completed Date:  2007-03-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  145-9     Citation Subset:  IM    
Department of Surgery, Shizuoka City Hospital, 10-93 Ohtemachi, Aoi-ku, Shizuoka, 420-8630, Japan.
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MeSH Terms
Brachiocephalic Veins*
Esophageal Neoplasms / surgery
Esophagectomy / adverse effects*,  methods
Follow-Up Studies
Middle Aged
Postoperative Complications
Reconstructive Surgical Procedures / adverse effects*,  methods
Tomography, X-Ray Computed
Venous Thrombosis / etiology*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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