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Figure 10. Contraindication for transhiatal esophagectomy due to aortic invasion in a 60-year-old man with SCC of the lower thoracic esophagus. CT scan (5-mm section thickness) obtained at the level of the left atrium shows a large esophageal mass abutting the descending thoracic aorta, with a contact area of more than 90° (arrows). Ivor Lewis esophagectomy revealed a dense tumor adhesion to the aorta.
