Document Detail

Coronary revascularization through a median sternotomy after pre-sternal jejunum reconstruction for esophageal carcinoma.
MedLine Citation:
PMID:  19632440     Owner:  NLM     Status:  MEDLINE    
Cardiac surgery after an operation for esophageal carcinoma is technically challenging. Herein, we report a case of a 77-year-old man with unstable angina after esophagectomy with jejunum reconstruction through a pre-sternal route. The patient was successfully treated by coronary artery bypass grafting through a median sternotomy. In this difficult and rare situation, a median sternotomy was still possible by a careful preoperative examination and intraoperative strategy.
Hiroyuki Nishi; Masataka Mitsuno; Hiroe Tanaka; Masaaki Ryomoto; Shinya Fukui; Yuji Miyamoto
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  88     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-27     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  667-9     Citation Subset:  AIM; IM    
Department of Cardiovascular Surgery, Hyogo College of Medicine, Hyogo, Japan.
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MeSH Terms
Angina, Unstable / epidemiology,  surgery*
Coronary Artery Bypass / methods*
Esophageal Neoplasms / epidemiology,  surgery*
Esophagoplasty* / methods
Jejunum / surgery*
Saphenous Vein / transplantation
Sternum / surgery
Thoracotomy / methods*

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