title: Aortic valve replacement in a patient with a retrosternal gastric tube and porcelain aorta.
abstract: A 66-year-old man with severe aortic stenosis had previously undergone esophagectomy with retrosternal gastric tube (GT) reconstruction for esophageal cancer. A chest computed tomography scan demonstrated severe aortic calcification, and we treated him with median sternotomy. A small upper laparotomy was made, and the surface of the GT was detected. The posterior and right sides of the GT were dissected, and the pericardium was then opened. An aortic cross clamp was performed in the least calcified lesion of the ascending aorta, and an aortotomy was performed just above the sinotubular junction. The aortic valve was successfully replaced with a mechanical valve.
authors.affiliation: Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Fukui
authors.forename: Masataka
authors.initials: M
authors.lastname: Mitsuno
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Yamamura
authors.forename: Hiroe
authors.initials: H
authors.lastname: Tanaka
authors.forename: Masaaki
authors.initials: M
authors.lastname: Ryomoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nishi
authors.forename: Noriko
authors.initials: N
authors.lastname: Tsujiya
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kajiyama
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyamoto
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003250:Constriction; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy; D005774:Gastrostomy / Q000295:instrumentation*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D010496:Pericardium / Q000601:surgery; D012720:Severity of Illness Index; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome