Aortic Valve Replacement via Left Thoracotomy After an Esophageal Operation

Takahara, Yoshiharu; Sudo, Yoshio; Nakazima, Nobuyuki

doi:10.1016/s0003-4975(96)00694-7

Cited by 19 publications

(8 citation statements)

References 6 publications

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“…All cases required AVR with a prosthetic valve. These cases included four approached via median sternotomy, 1–4 three via left thoracotomy, 5–7 and three via a right parasternal approach 8–10 …”

Section: Discussionmentioning

confidence: 99%

Aortic Valve Replacement in a Patient with a Retrosternal Gastric Tube

Satô

Sakamoto

Watanabe

2011

Journal of Cardiac Surgery

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A 65-year-old male with a history of a total thoracic esophagectomy with a retrosternal gastric tube reconstruction required aortic valve replacement for aortic valve stenosis due to a bicuspid aortic valve. Preoperative multidetector computed tomography demonstrated that the gastric tube occupied the retrosternal space and the gastroepiploic artery was located on the left side of the gastric tube. Aortic valve replacement was performed through a median sternotomy approach. Blunt dissection on the anterior and right side of the gastric tube was performed without injury, and we could then perform cardiac surgery with the standard surgical view.

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Section: Discussionmentioning

confidence: 99%

Aortic Valve Replacement in a Patient with a Retrosternal Gastric Tube

Satô

Sakamoto

Watanabe

2011

Journal of Cardiac Surgery

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“…However, in aortic valvular disease, the left thoracotomy approach is applicable for aortic replacement. 6 For left anterior descending arterial and circumflex arterial lesions, multiple minimally invasive direct coronary artery grafting (MIDCABG) through a small left thoracotomy may be performed without cardiopulmonary bypass. 7 When using a free graft (vein or radial artery), proximal anastomosis may be performed on the descending aorta or left subclavian artery.…”

Section: Discussionmentioning

confidence: 99%

Mitral valve replacement and tricuspid annuloplasty via right mini-thoracotomy in a patient with tracheostomy

et al. 2003

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This report describes our experience in performing mitral valve replacement and tricuspid annuloplasty via a right mini-thoracotomy in a patient with tracheostomy. A 24-year-old woman was admitted with shortness of breath and palpitations. She had subglottic tracheal stenosis and tracheostomy due to tracheal intubation of long duration. Echocardiography revealed chronic severe mitral and tricuspid valve regurgitation. We planned to perform at first the cardiac, and then the tracheal operation, because her left ventricular function was worsening. To eliminate the potential complications of sternotomy in patients with tracheostomy, we used right mini-thoracotomy. We performed mechanical mitral valve replacement for the mitral valve and De Vega annuloplasty for the tricuspid valve. The patient was transferred to the tracheal surgery clinic after the 20th day. Tracheal resection and anastomosis were performed in this department. Three months later, the patient was asymptomatic. We believe that the right mini-thoracotomy approach is a good technique for mitral valve replacement in patients with tracheostomy.

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“…Structural heart disease requiring surgery in patients with esophageal interposition represents an extraordinary condition and may be a hard challenge for the cardiac surgeon. Although retrosternal mobilization of the esophageal substitute after median sternotomy may be technically feasible, the left thoracotomy has been considered the preferred approach in this subset of patients 2‐6 . Coronary artery bypass grafting through a left thoracotomy has been previously reported in patients with retrosternal colon interposition 2,3 .…”

Section: Commentmentioning

confidence: 99%

“…Although retrosternal mobilization of the esophageal substitute after median sternotomy may be technically feasible, the left thoracotomy has been considered the preferred approach in this subset of patients. [2][3][4][5][6] Coronary artery bypass grafting through a left thoracotomy has been previously reported in patients with retrosternal colon interposition. 2,3 However, to the best of our knowledge, the only mitral procedure in patients with previous esophageal replacement was reported by Pratt and associates, who successfully performed a mitral valve replacement in a patient with a retrosternal gastric conduit via left thoracotomy.…”

Section: An Optimal Exposure Of the Mitral Valve Is Essential For Thementioning

confidence: 99%