Long-segment substernal jejunal esophageal replacement with internal mammary vascular augmentation.
We describe a technique that uses the internal mammary vessels to enhance long-segment jejunal graft blood supply in addition to an intact distal mesenteric vascular arcade. We believe that this technique, called vascular augmentation, improves jejunal graft perfusion and decreases ischemic complications.
Heitmiller
R F
RF
Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Gruber
P J
PJ
Swier
P
P
Singh
N
N
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D004938:Esophageal Neoplasms / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D019651:Plastic Surgery Procedures