title: Bilateral thoracotomy and inferior sternotomy for bypass grafting after esophagostomy.
abstract: In the presence of a cervical esophagostomy, a median sternotomy may jeopardize the stoma, risk mediastinal or sternal infection, and potentially compromise future esophageal operations. Coronary artery bypass grafting was performed using a modified bilateral thoracotomy before esophageal reconstruction in a patient with cervical esophagostomy. The surgical technique is described with a review of the relevant literature.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: N G
authors.initials: NG
authors.lastname: Smedira
authors.forename: J
authors.initials: J
authors.lastname: Eng
authors.forename: T W
authors.initials: TW
authors.lastname: Rice
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D004946:Esophagostomy; D006801:Humans; D008297:Male; D013249:Sternum / Q000601:surgery*; D013908:Thoracotomy