title: [Coronary artery bypass grafting after total esophagectomy].
abstract: A 69-year-old male with a history of total esophagectomy and substernal placement of the gastric tube for esophageal carcinoma was admitted due to an unstable angina. Cardiac catheterization revealed a severe stenosis just proximal to the left anterior descending coronary artery and a 75% stenosis of the right coronary artery. Intraaortic balloon pumping was started in the catheter laboratory. Off-pump coronary artery bypass grafting was performed through left thoracotomy. The left internal mammary artery could not be utilized as a bypass graft to the left anterior descending artery due to severe substernal adhesion. Percutaneous coronary intervention was selected for the revascularization of the right coronary artery lesion.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Meijo Hospital, Nagoya, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Ichikawa
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Murakami
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D006801:Humans; D008297:Male