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  • Title: Aortic valve replacement after esophagectomy with substernal gastric tube and total laryngectomy with tracheostoma.
    Author: Fukunaga N, Okada Y, Konishi Y, Murashita T, Yuzaki M, Shomura Y, Koyama T, Fujiwara H.
    Journal: Ann Thorac Surg; 2012 Jul; 94(1):271-3. PubMed ID: 22579890.
    Abstract:
    A 77-year-old man successfully underwent aortic valve replacement with a bioprosthesis through a right thoracotomy. Right thoracotomy was utilized because the patient had previously undergone esophagectomy with reconstruction of a substernal gastric tube for esophageal cancer as well as total laryngectomy with tracheostoma formation for laryngeal cancer. Thus, even in a situation in which conventional median sternotomy was difficult, a good outcome for aortic valve replacement was achieved through an alternate approach. This case highlights the need to consider patient history when selecting a surgical approach.
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