Substernal Colonic Interposition After Previous Coronary Artery Bypass Graft in a Patient With a Patent Left Internal Thoracic Artery Graft: A Surgical Challenge.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27772592.
- Also identified by DOI 10.1016/j.athoracsur.2016.04.063.
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Abstract
Esophageal reconstruction by a substernal route with a colonic conduit after previous esophagectomy and end-cervical esophagostomy in the presence of a patent left internal thoracic artery graft to the left anterior descending coronary artery is a technically challenging procedure. In this case report, we describe a safe approach to this difficult problem. With proper planning and careful dissection, substernal esophageal reconstruction after previous sternotomy in patients with a patent left internal thoracic artery graft is feasible and can be safely performed.
Medical subject headings
- Colonic Diseases
- Coronary Artery Bypass
- Coronary Artery Disease
- Esophageal Neoplasms
- Esophagoplasty
- Mammary Arteries
- Postoperative Complications