title: Revascularization of the ischemic gastric tube using the left internal thoracic artery.
abstract: Ischemia of the gastric tube during use as an esophageal substitute may have serious consequences. We describe a method to correct substernal gastric tube ischemia using the left internal thoracic artery as a source of arterial inflow to a short gastric artery. This permitted successful reconstruction of the upper alimentary tract in this patient.
authors.affiliation: Department of Surgery, Ottawa Civic Hospital, Ontario, Canada.
authors.forename: D
authors.initials: D
authors.lastname: Petsikas
authors.forename: F M
authors.initials: FM
authors.lastname: Shamji
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D004939:Esophageal Perforation / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005748:Gastric Fundus / Q000098:blood supply / Q000637:transplantation; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D013270:Stomach / Q000098:blood supply* / Q000637:transplantation; D013524:Surgical Flaps / Q000009:adverse effects*; D013895:Thoracic Arteries / Q000601:surgery*