Successful treatment of esophageal cancer with transhiatal esophagectomy after heart transplantation Dipin Gupta, MD, Mahender Macha, MD, Valentino Piacentino,

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Successful treatment of esophageal cancer with transhiatal esophagectomy after heart transplantation Dipin Gupta, MD, Mahender Macha, MD, Valentino Piacentino, PhD, Arun K Singhal, MD, PhD, Harvey F Sasken, MD, Satoshi Furukawa, MD, Daniel T Dempsey, MD The Annals of Thoracic Surgery Volume 78, Issue 2, Pages 702-705 (August 2004) DOI: 10.1016/S0003-4975(03)01384-5

Fig 1 (A) Esophageal mucosa is present at the left edge of the field. Dysplastic epithelium as well as intramucosal carcinoma are also apparent. Invasion below the muscularis mucosa is not present (hematoxylin & eosin stain, original magnification, ×25). (B) A solid region of well-differentiated adenocarcinoma is demonstrated with cribiform and abortive gland formation, and focal necrosis and leukocytic infiltration (hematoxylin & eosin stain, original magnification, ×200). The Annals of Thoracic Surgery 2004 78, 702-705DOI: (10.1016/S0003-4975(03)01384-5)

Fig 2 Lateral view of transhiatal mobilization of the esophagus. Note close proximity of posterior pericardium to plane of dissection. (Reprinted from Baue AE, et al, Glenn's thoracic and cardiovascular surgery, 6th ed, Stamford, CT, McGraw-Hill Education, 1991, p 801, with permission.) The Annals of Thoracic Surgery 2004 78, 702-705DOI: (10.1016/S0003-4975(03)01384-5)

Fig 3 Contrast-swallowing study performed on postoperative day 7. The Annals of Thoracic Surgery 2004 78, 702-705DOI: (10.1016/S0003-4975(03)01384-5)