Aortic valve replacement after esophagectomy with substernal gastric tube reconstruction.
A 67-year-old woman with a history of esophagectomy with substernal gastric tube (GT) reconstruction and left lower lobectomy required aortic valve replacement (AVR) for aortic valve regurgitation and stenosis. Through a median sternotomy (MS) with cardiopulmonary bypass (CPB), we performed AVR without injury to the GT. Careful peeling of the GT and detailed information of the operative field by multidetector-row computed tomography (MDCT) scan enabled us to carry out the operation safely in the usual operative view.
Tobinaga
Satoru
S
The Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Tayama
Keiichiro
K
Kawano
Hiroshi
H
Teshima
Hideki
H
Fujita
Hiromasa
H
Takaseya
Toru
T
Shoujima
Takahiro
T
Takagi
Kazuyoshi
K
Akashi
Hidetoshi
H
Aoyagi
Shigeaki
S
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D016629:Esophagectomy; D004944:Esophagoplasty; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D014057:Tomography, X-Ray Computed