Aortic valve replacement after esophagectomy with substernal gastric tube reconstruction.
نویسندگان
چکیده
A 67-year-old woman with a history of esophagectomy with substernal gastric tube (GT) reconstruction and left lower lobectomy required aortic valve replacement (AVR) for aortic valve regurgitation and stenosis. Through a median sternotomy (MS) with cardiopulmonary bypass (CPB), we performed AVR without injury to the GT. Careful peeling of the GT and detailed information of the operative field by multidetector-row computed tomography (MDCT) scan enabled us to carry out the operation safely in the usual operative view.
منابع مشابه
Tracheoesophageal fistula after total resection of gastric conduit for gastro-aortic fistula due to gastric ulcer
BACKGROUND Tracheoesophageal fistula (TEF) is a rare but life-threatening complication after esophagectomy. It has a high mortality rate and often leads to severe aspiration pneumonia. Various types of surgical repair procedures have been reported, but the optimal management of TEF is challenging and controversial. Treatment should be individualized to each patient. CASE PRESENTATION A 66-yea...
متن کاملMultiple valve surgery for a patient with presternal oesophageal reconstruction.
A 73-year old woman presented with progressive exertional dyspnoea. Echocardiography revealed severe regurgitation of the aortic, mitral and tricuspid valves, indicating the need for multiple valve surgery. The patient had a past history of oesophageal cancer that had been treated with chemoradiotherapy followed by oesophagectomy with presternal reconstruction using a gastric tube and a pedicle...
متن کاملSeven esophageal perforation cases after aortic replacement/stenting for thoracic aortic dissection or aneurysm
BACKGROUND Esophageal perforation after aortic replacement/stenting for aortic dissection or aneurysm is a rare but severe complication. However, its cause, standard treatment, and prognosis are unclear. We analyzed the treatment and outcome retrospectively from seven cases experienced at our hospital. CASE PRESENTATION The median age of the patients was 70 years (range, 41-86), and six of th...
متن کاملGastrobronchial fistula and anastomotic esophagogastric stenosis after esophagectomy for esophageal carcinoma.
Esophagectomy and esophageal replacement with a gastric tube are the procedures of choice for resectable esophageal carcinoma. Postoperative stricture at the level of the esophagogastric anastomosis is a wellknown complication of this procedure. Much less common is the development of a benign fistula communicating the gastric tube and the airway. We report the clinical case of a patient in whom...
متن کاملAortic Valve replacement with Reduction Aortoplasty with Mesh Prosthesis in 75 years old with Sever aortic Regurgitation with Aortic Aneurysm
Although classic and standard procedure for patients with ascending Aorta aneurysm with Sever aortic Regurgitation is Bentall surgery but in some selected cases this complex surgery was not performed with different reason like advanced age and coexisting comorbidity involving renal and hepatic and lung Function. In our cases 75 years old man with chronic renal failure ( Cr= 3.2 ) who was known ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
دوره 12 3 شماره
صفحات -
تاریخ انتشار 2006