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Ann Thorac Surg 2008;86:1668-1670. doi:10.1016/j.athoracsur.2008.04.059
© 2008 The Society of Thoracic Surgeons
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Satoru Wakasa
Norihiko Shiiya
Toshifumi Murashita
Yoshiro Matsui
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Case Reports

Aortic Valve Replacement Through Left Thoracotomy After Esophageal Operation

Satoru Wakasa, MD, PhD*, Tomonori Ooka, MD, PhD, Suguru Kubota, MD, PhD, Norihiko Shiiya, MD, PhD, Toshifumi Murashita, MD, PhD, Yoshiro Matsui, MD, PhD

Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan

Accepted for publication April 16, 2008.

* Address correspondence to Dr Wakasa, Department of Cardiovascular Surgery, Hokkaido University Hospital, Kita-14, Nishi-5, Kita-ku, Sapporo, 060-8648, Japan (Email: wakasa{at}med.hokudai.ac.jp).

A 67-year-old man was referred for aortic valve surgery due to aortic valve regurgitation. He underwent an aortic valve replacement through a left thoracotomy, since he had a history of esophageal surgery with substernal gastric tube reconstruction and lymph node dissection through a right thoracotomy 14 years ago. The aortic valve was successfully replaced with excellent visualization using vacuum-assisted venous drainage on a cardiopulmonary bypass. Although exposing the aortic valve through a left thoracotomy is difficult, the application of vacuum-assisted venous drainage helps visualize the aortic valve in this approach.




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