Mazzitelli Domenico, Bedda Wael, Petrova Diana, Lange Ruediger
Department of Cardiovascular Surgery, German Heart Center at the Technical University, Lazarettstr. 36, 80636, Munich, Germany.
Eur J Cardiothorac Surg. 2004 Feb;25(2):290-2. doi: 10.1016/j.ejcts.2003.07.012.
Aortic valve replacement had to be performed in a 77-year-old man with a history of esophageal carcinoma, which had been treated with two-staged esophageal resection and retrosternal gastropexy. Barium swallowing confirmed the retrosternal course of the stomach, which crossed the midline from the right upper abdomen to the left-sided neck anastomosis. Aortic valve replacement with a bioprosthesis was performed through a small right parasternal thoracotomy. The postoperative course was uneventful. We found that the right parasternal incision is an excellent surgical approach for aortic valve replacement in patients after retrosternal gastropexy.
一名77岁男性有食管癌病史，曾接受两阶段食管切除术和胸骨后胃固定术，现需进行主动脉瓣置换术。吞咽钡剂证实胃走行于胸骨后，从右上腹穿过中线至左侧颈部吻合口。通过右胸小切口行生物瓣膜主动脉瓣置换术。术后过程顺利。我们发现右胸切口是胸骨后胃固定术后患者进行主动脉瓣置换术的极佳手术入路。
