[Esophago-diaphragmatic plastic surgery in cardiostenosis]

When performing plasty of cardiostenosis the author proposes to dissect the muscular ring of the esophageal opening along the anterio-lateral border in order to avoid a disturbance of the His angle. The resulting anterior and posterior flaps of the diaphragm are mobilized. The stenosed part of the esophagus is dissected longitudinally up to the submucous layer on its anterio-lateral surface. Plastic reconstruction of the muscular defect of the cardia is performed by the anterior flap of the muscular ring of the esophageal opening of the diaphragm having rich blood supply. The posterior flap of the diaphragm is sutured to the lower border of the anterior flap.