Off-pump coronary artery bypass grafting via median sternotomy in a patient with a history of esophagectomy with substernal gastric tube reconstruction: report of a case

被引：0

作者：

Kashiyama, Noriyuki ^{[1
]}

Toda, Koichi ^{[1
]}

Miyagawa, Shigeru ^{[1
]}

Nishi, Hiroyuki ^{[1
]}

Yoshikawa, Yasushi ^{[1
]}

Fukushima, Satsuki ^{[1
]}

Yoshioka, Daisuke ^{[1
]}

Masashi, Kawamura ^{[1
]}

Saito, Tetsuya ^{[1
]}

Sawa, Yoshiki ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Cardiovasc Surg, Suita, Osaka 5650087, Japan

来源：

SURGERY TODAY | 2015年 / 45卷 / 09期

关键词：

OPCAB; Esophagectomy; Substernal gastric tube reconstruction;

D O I：

10.1007/s00595-014-1057-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We performed successful off-pump coronary artery bypass grafting (OPCAB) in a patient with unstable angina caused by triple-vessel disease, who had undergone esophagectomy with substernal gastric tube reconstruction for esophageal cancer 40 years earlier. Preoperative multidetector-row computed tomography was done to evaluate the course of the gastric tube and also that of the gastroepiploic artery, which feeds the gastric tube. Following careful sternal re-entry and adequate dissection, OPCAB was performed safely via a median sternotomy without injuring the gastric tube or causing hemodynamic instability. The patient had an uneventful early postoperative course.

引用

页码：1190 / 1193

页数：4

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