Fukui Shinya, Mitsuno Masataka, Yamamura Mitsuhiro, Tanaka Hiroe, Ryomoto Masaaki, Nishi Hiroyuki, Tsujiya Noriko, Kajiyama Tetsuya, Miyamoto Yuji
Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Ann Thorac Cardiovasc Surg. 2009 Oct;15(5):343-5.
A 66-year-old man with severe aortic stenosis had previously undergone esophagectomy with retrosternal gastric tube (GT) reconstruction for esophageal cancer. A chest computed tomography scan demonstrated severe aortic calcification, and we treated him with median sternotomy. A small upper laparotomy was made, and the surface of the GT was detected. The posterior and right sides of the GT were dissected, and the pericardium was then opened. An aortic cross clamp was performed in the least calcified lesion of the ascending aorta, and an aortotomy was performed just above the sinotubular junction. The aortic valve was successfully replaced with a mechanical valve.
一名66岁患有严重主动脉瓣狭窄的男性患者，此前因食管癌接受了经胸骨后胃管（GT）重建的食管切除术。胸部计算机断层扫描显示严重的主动脉钙化，我们对他进行了正中胸骨切开术。做了一个小的上腹部剖腹手术，检测到胃管的表面。解剖胃管的后侧和右侧，然后打开心包。在升主动脉钙化最少的病变处进行主动脉交叉钳夹，并在窦管交界处上方进行主动脉切开术。成功地用机械瓣膜替换了主动脉瓣。
