Revascularization of the ischemic gastric tube using the left internal thoracic artery.
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.
Petsikas
D
D
Department of Surgery, Ottawa Civic Hospital, Ontario, Canada.
Shamji
F M
FM
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*