Document Detail

Mini-sternotomy approach for aortic valve replacement in the patient with retrosternal gastric tube.
MedLine Citation:
PMID:  18615379     Owner:  NLM     Status:  MEDLINE    
This case report details our experience of aortic valve replacement(AVR) following esophagectomy for esophageal cancer.The route of the retrosternal gastric tube was clearly visualized by esophagogram and CT. A mini-sternotomy was performed safely, resulting in minimal dissection of the retrosternal adhesion and a good exposure to institute extracorporeal circulation and perform the AVR. The patient was discharged uneventfully and was in NYHA class I at three months after surgery. A ministernotomy is a safe alternative approach for good exposure of the heart when performing AVR in patients with a retrosternal gastric tube.
T Kunihisa; N Handa; Y Okada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  56     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-10     Completed Date:  2008-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  300-1     Citation Subset:  IM    
Cardiovascular Surgery, Kobe City Medical Center General Hospital, 4-6 Minatojima-Nakamachi, Cyuou-ku, Kobe-shi, Japan.
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MeSH Terms
Aortic Valve Stenosis / radiography,  surgery*
Esophageal Neoplasms / surgery*
Esophagus / radiography,  surgery*
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation* / instrumentation
Intubation, Gastrointestinal*
Middle Aged
Sternum / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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