Aortic Valve Replacement After Esophagectomy With Substernal Gastric Tube and Total Laryngectomy With Tracheostoma Naoto Fukunaga, MD, Yukikatsu Okada,

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Aortic Valve Replacement After Esophagectomy With Substernal Gastric Tube and Total Laryngectomy With Tracheostoma Naoto Fukunaga, MD, Yukikatsu Okada, MD, Yasunobu Konishi, MD, Takashi Murashita, MD, Mitsuru Yuzaki, MD, Yu Shomura, MD, Tadaaki Koyama, MD, Hiroshi Fujiwara, MD The Annals of Thoracic Surgery Volume 94, Issue 1, Pages 271-273 (July 2012) DOI: 10.1016/j.athoracsur.2011.12.089 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 An enhanced computed tomography scan preoperatively shows (A) a tracheostoma and (B) a substernal gastric tube, with the gastroepiploic artery to the right of the gastric tube. The Annals of Thoracic Surgery 2012 94, 271-273DOI: (10.1016/j.athoracsur.2011.12.089) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Aortic valve replacement was performed in a standard fashion through a right thoracotomy with a 10-cm skin incision. The Annals of Thoracic Surgery 2012 94, 271-273DOI: (10.1016/j.athoracsur.2011.12.089) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions