Aortic Valve Replacement after Retrosternal Gastric Tube Reconstruction for Esophageal Cancer
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- Iida Takeshi
- Department of Surgery II, Kochi University
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- Nishimori Hideaki
- Department of Surgery II, Kochi University
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- Fukutomi Takashi
- Department of Surgery II, Kochi University
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- Wariishi Seiichiro
- Department of Surgery II, Kochi University
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- Yamamoto Masaki
- Department of Surgery II, Kochi University
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- Sasaguri Shiro
- Department of Surgery II, Kochi University
Bibliographic Information
- Other Title
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- 胸骨後経路胃管再建が行われていた食道癌術後の大動脈弁狭窄症に対して右傍胸骨切開で大動脈弁置換術を行った1例
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Abstract
We present a case of aortic valve replacement after retrosternal gastric tube reconstruction for esophageal cancer. A 84-year-old man with a history of esophageal resection with retrosternal reconstruction by gastric tube for esophageal cancer required aortic valve replacement for aortic stenosis. The aortic valve was approached through an 8-cm right parasternal incision over the third and fourth costal cartilages. Cardiopulmonary bypass was initiated through cannulas in the ascending aorta and the right atrium and the aortic valve was replaced with a bioprosthetic valve. The postoperative course was uneventful. In the literature, there are only 7 reports on such cases so far, in which aortic valve relplacement was performed through left thoracotomy, right parasternal approach or median sternotomy. We recommend the right parasternal approach in cases of aortic valve replacement in patients with retrosternal gastric tube, because it does not only avoids injury of gastric tube, but also offers an excellent operative view.
Journal
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- Japanese Journal of Cardiovascular Surgery
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Japanese Journal of Cardiovascular Surgery 37 (6), 329-332, 2008
The Japanese Society for Cardiovascular Surgery
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Details
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- CRID
- 1390282679681134464
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- NII Article ID
- 110006990403
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- NII Book ID
- AN00193284
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- ISSN
- 18834108
- 02851474
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed