Nishi Hiroyuki, Mitsuno Masataka, Tanaka Hiroe, Ryomoto Masaaki, Fukui Shinya, Miyamoto Yuji
Department of Cardiovascular Surgery, Hyogo College of Medicine, Hyogo, Japan.
Ann Thorac Surg. 2009 Aug;88(2):667-9. doi: 10.1016/j.athoracsur.2008.12.077.
Cardiac surgery after an operation for esophageal carcinoma is technically challenging. Herein, we report a case of a 77-year-old man with unstable angina after esophagectomy with jejunum reconstruction through a pre-sternal route. The patient was successfully treated by coronary artery bypass grafting through a median sternotomy. In this difficult and rare situation, a median sternotomy was still possible by a careful preoperative examination and intraoperative strategy.
