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Ann Thorac Surg 2009;88:667-669. doi:10.1016/j.athoracsur.2008.12.077
© 2009 The Society of Thoracic Surgeons
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Hiroyuki Nishi
Masataka Mitsuno
Yuji Miyamoto
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Right arrow Coronary disease

Case Reports

Coronary Revascularization Through a Median Sternotomy After Pre-sternal Jejunum Reconstruction for Esophageal Carcinoma

Hiroyuki Nishi, MD, Masataka Mitsuno, MD, Hiroe Tanaka, MD, Masaaki Ryomoto, MD, Shinya Fukui, MD, Yuji Miyamoto, MD*

Department of Cardiovascular Surgery, Hyogo College of Medicine, Hyogo, Japan

Accepted for publication December 23, 2008.

* Address correspondence to Dr Miyamoto, Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan (Email: y-miyamo{at}hyo-med.ac.jp).

Cardiac surgery after an operation for esophageal carcinoma is technically challenging. Herein, we report a case of a 77-year-old man with unstable angina after esophagectomy with jejunum reconstruction through a pre-sternal route. The patient was successfully treated by coronary artery bypass grafting through a median sternotomy. In this difficult and rare situation, a median sternotomy was still possible by a careful preoperative examination and intraoperative strategy.






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Copyright © 2009 by The Society of Thoracic Surgeons.