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Updated: Aug 7, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Aortic valve replacement after esophagectomy with substernal gastric tube reconstruction
Satoru Tobinaga1, Keiichiro Tayama, Hiroshi Kawano
1The Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Abstract:
A 67-year-old woman with a history of esophagectomy with substernal gastric tube (GT) reconstruction and left lower lobectomy required aortic valve replacement (AVR) for aortic valve regurgitation and stenosis. Through a median sternotomy (MS) with cardiopulmonary bypass (CPB), we performed AVR without injury to the GT. Careful peeling of the GT and detailed information of the operative field by multidetector-row computed tomography (MDCT) scan enabled us to carry out the operation safely in the usual operative view.
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