A case of esophageal cancer infiltrating the left bronchus pars membranacea
and the aneurysmal aortic wall was resected en bloc with the bronchial and
aortic wall. Descending aorta was substituted by means of a Dacron prosthe
sis fitted with expandable devices at both ends, allowing a very significan
t reduction of the clamping time and simplification of this part of the pro
cedure.