title: Mini-sternotomy approach for aortic valve replacement in the patient with retrosternal gastric tube.
abstract: This case report details our experience of aortic valve replacement(AVR) following esophagectomy for esophageal cancer.The route of the retrosternal gastric tube was clearly visualized by esophagogram and CT. A mini-sternotomy was performed safely, resulting in minimal dissection of the retrosternal adhesion and a good exposure to institute extracorporeal circulation and perform the AVR. The patient was discharged uneventfully and was in NYHA class I at three months after surgery. A ministernotomy is a safe alternative approach for good exposure of the heart when performing AVR in patients with a retrosternal gastric tube.
authors.affiliation: Cardiovascular Surgery, Kobe City Medical Center General Hospital, 4-6 Minatojima-Nakamachi, Cyuou-ku, Kobe-shi, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kunihisa
authors.forename: N
authors.initials: N
authors.lastname: Handa
authors.forename: Y
authors.initials: Y
authors.lastname: Okada
mesh_terms: D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001705:Bioprosthesis; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013249:Sternum / Q000601:surgery*; D013908:Thoracotomy; D016896:Treatment Outcome