title: Aortic valve replacement after esophagectomy with substernal gastric tube reconstruction.
abstract: 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.
authors.affiliation: The Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Tobinaga
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Tayama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawano
authors.forename: Hideki
authors.initials: H
authors.lastname: Teshima
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Fujita
authors.forename: Toru
authors.initials: T
authors.lastname: Takaseya
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shoujima
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Takagi
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Akashi
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Aoyagi
mesh_terms: 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