title: Surgical repair of an acute Stanford type A aortic dissection in a patient with a retrosternal gastric tube.
abstract: Cardiovascular surgery in patients with a retrosternal gastric tube (RGT) remains rare despite improvements in the prognosis of oesophageal cancer. A 75-year old woman with a history of total thoracic oesophagectomy with RGT reconstruction required emergency aortic arch replacement for an acute Stanford type A aortic dissection. We opted for a median sternotomy approach involving complete dissection of the RGT from surrounding tissues and retraction for surgical access to the dissection. Enhanced computed tomography was useful for the diagnosis and planning of the emergency surgery.
authors.affiliation: Department of Cardiovascular Surgery, Kinki University Hospital, Osaka, Japan tatsuyaogawa99@hotmail.com.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ogawa
authors.affiliation: Department of Cardiovascular Surgery, Kinki University Hospital, Osaka, Japan.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Saga
authors.affiliation: Department of Cardiovascular Surgery, Kinki University Hospital, Osaka, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Kaneda
authors.affiliation: Department of Cardiovascular Surgery, Kinki University Hospital, Osaka, Japan.
authors.forename: Sohei
authors.initials: S
authors.lastname: Hamanaka
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004750:Enteral Nutrition; D016629:Esophagectomy; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal; D011859:Radiography
keywords: Acute Stanford type A dissection; Enhanced computed tomography; Reoperation; Retrosternal gastric tube