title: Aortic valve replacement after esophagectomy with substernal gastric tube and total laryngectomy with tracheostoma.
abstract: A 77-year-old man successfully underwent aortic valve replacement with a bioprosthesis through a right thoracotomy. Right thoracotomy was utilized because the patient had previously undergone esophagectomy with reconstruction of a substernal gastric tube for esophageal cancer as well as total laryngectomy with tracheostoma formation for laryngeal cancer. Thus, even in a situation in which conventional median sternotomy was difficult, a good outcome for aortic valve replacement was achieved through an alternate approach. This case highlights the need to consider patient history when selecting a surgical approach.
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan. naotowakimachi@hotmail.co.jp
authors.forename: Naoto
authors.initials: N
authors.lastname: Fukunaga
authors.forename: Yukikatsu
authors.initials: Y
authors.lastname: Okada
authors.forename: Yasunobu
authors.initials: Y
authors.lastname: Konishi
authors.forename: Takashi
authors.initials: T
authors.lastname: Murashita
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Yuzaki
authors.forename: Yu
authors.initials: Y
authors.lastname: Shomura
authors.forename: Tadaaki
authors.initials: T
authors.lastname: Koyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fujiwara
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001705:Bioprosthesis; D016629:Esophagectomy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007825:Laryngectomy; D008297:Male; D013908:Thoracotomy; D014139:Tracheostomy