title: Coronary revascularization through a median sternotomy after pre-sternal jejunum reconstruction for esophageal carcinoma.
abstract: Cardiac surgery after an operation for esophageal carcinoma is technically challenging. Herein, we report a case of a 77-year-old man with unstable angina after esophagectomy with jejunum reconstruction through a pre-sternal route. The patient was successfully treated by coronary artery bypass grafting through a median sternotomy. In this difficult and rare situation, a median sternotomy was still possible by a careful preoperative examination and intraoperative strategy.
authors.affiliation: Department of Cardiovascular Surgery, Hyogo College of Medicine, Hyogo, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nishi
authors.forename: Masataka
authors.initials: M
authors.lastname: Mitsuno
authors.forename: Hiroe
authors.initials: H
authors.lastname: Tanaka
authors.forename: Masaaki
authors.initials: M
authors.lastname: Ryomoto
authors.forename: Shinya
authors.initials: S
authors.lastname: Fukui
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyamoto
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000453:epidemiology / Q000601:surgery*; D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000379:methods*; D004938:Esophageal Neoplasms / Q000453:epidemiology / Q000601:surgery*; D016629:Esophagectomy; D004944:Esophagoplasty / Q000379:methods; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D013249:Sternum / Q000601:surgery; D013908:Thoracotomy / Q000379:methods*