Takahara Y, Sudo Y, Nakazima N
Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan.
Ann Thorac Surg. 1997 Jan;63(1):225-7. doi: 10.1016/s0003-4975(96)00694-7.
Aortic valve replacement was performed through a left anterolateral thoracotomy using cardiopulmonary bypass in a 59-year-old man who had previously received esophageal resection with substernal reconstruction by gastric tube. Through this approach, injury of the reconstructed tube was avoided and the valve replacement operation was safely performed. We conclude that the lateral thoracotomy approach remains a valuable alternative for certain exceptional cases.
在一名59岁男性患者中，通过左前外侧开胸并使用体外循环进行主动脉瓣置换术，该患者此前接受过食管切除术并经胃管进行胸骨后重建。通过这种方法，避免了对重建管道的损伤，并安全地进行了瓣膜置换手术。我们得出结论，对于某些特殊情况，侧胸壁开胸入路仍然是一种有价值的替代方法。
