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Ann Thorac Surg 2000;69:1593-1594
© 2000 The Society of Thoracic Surgeons

Case reports

The stomach as a microvascularly augmented flap for esophageal replacement

Azim M. Valji, MDa, Donna E. Maziak, MDCMa, Murray W. Allen, MDa, Farid M. Shamji, MDa

a Divisions of Thoracic and Plastic Surgery, University of Ottawa, Ottawa Hospital, Ottawa, Ontario, Canada

Address reprint requests to Dr Maziak, Ottawa Civic Hospital, 1053 Carling Ave, CPC Room 162, Ottawa, ON, K1Y 1J8, Canada
e-mail: dmaziak{at}civich.ottawa.on.ca

We present a case of difficult esophageal reconstruction after total esophagectomy for iatrogenic perforation in a diseased esophagus. The stomach was used for esophageal reconstruction as a retrosternal microvascularly augmented flap; the vascular supply to the stomach had been interrupted during previous abdominal operations. The blood supply to the stomach conduit was restored by separate arterial and venous anastomosis between the right internal thoracic vessels and the left gastric vessels.






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