Sato Masataka, Sakamoto Hiroaki, Watanabe Yasunori
Department of Cardiovascular Surgery, Hitachi General Hospital, Hitachi, Japan.
J Card Surg. 2011 Sep;26(5):480-2. doi: 10.1111/j.1540-8191.2011.01288.x. Epub 2011 Jul 26.
A 65-year-old male with a history of a total thoracic esophagectomy with a retrosternal gastric tube reconstruction required aortic valve replacement for aortic valve stenosis due to a bicuspid aortic valve. Preoperative multidetector computed tomography demonstrated that the gastric tube occupied the retrosternal space and the gastroepiploic artery was located on the left side of the gastric tube. Aortic valve replacement was performed through a median sternotomy approach. Blunt dissection on the anterior and right side of the gastric tube was performed without injury, and we could then perform cardiac surgery with the standard surgical view.
一名65岁男性，有经胸骨后胃管重建的全胸段食管切除术病史，因二叶式主动脉瓣导致主动脉瓣狭窄需要进行主动脉瓣置换术。术前多排螺旋计算机断层扫描显示胃管占据胸骨后间隙，胃网膜动脉位于胃管左侧。通过正中胸骨切开术进行主动脉瓣置换。在胃管的前方和右侧进行钝性分离且未造成损伤，然后我们能够以标准手术视野进行心脏手术。
