Acute type A aortic dissection surgery in retrosternal gastric tube reconstruction patient

Background Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage. Case presentation A 73-year-old female, who underwent esophagectomy with retroste...

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Published inAsian cardiovascular & thoracic annals Vol. 32; no. 1; pp. 36 - 39
Main Authors Luangthong, Nutthawadee, Yamamoto, Shin, Oshima, Susumu, Hirokami, Tomohiro, Ozaki, Kensuke
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.01.2024
Subjects
retrosternal gastric tube reconstruction
acute type A aortic dissection
Esophageal cancer
median sternotomy
hemiarch replacement
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Abstract Background Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage. Case presentation A 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.
AbstractList Background Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage. Case presentation A 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.
Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage. A 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.
BACKGROUNDRetrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage.CASE PRESENTATIONA 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.
Author Hirokami, Tomohiro
Ozaki, Kensuke
Luangthong, Nutthawadee
Oshima, Susumu
Yamamoto, Shin
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10.1016/j.jtcvs.2019.04.038
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Keywords retrosternal gastric tube reconstruction
acute type A aortic dissection
Esophageal cancer
median sternotomy
hemiarch replacement
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Kawase, Watanabe 2008; 37
Mazzitelli, Bedda, Petrova 2004; 25
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Snippet Background Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic...
Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection...
BACKGROUNDRetrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic...
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