A Case of Stanford Type A Acute Aortic Dissection after Surgery for Esophageal Cancer

Hiroki Uchiyama＊	Toshiro Ito＊	Toshitaka Watanabe＊
Naomi Yasuda＊	Junji Nakazawa＊	Yosuke Kuroda＊
Ryo Harada＊	Nobuyoshi Kawaharada

（Department of Cardiovascular Surgery, Sapporo Medical University＊, Sapporo, Japan）

A 76-year-old man with a history of total esophagectomy and retrosternal gastric tube reconstruction for esophageal cancer was transferred to our hospital because of consciousness disorder. It became an emergency operation on diagnosis of Stanford type A acute aortic dissection on enhanced CT. Because CT showed the retrosternal gastric tube ran along the right side of the body of the sternum through the back side of the manubrium, we opted for skin and the suprasternal incision on the left side from center. We could perform total aortic arch replacement without the damage of the gastric tube except that the right side of the operative view was slightly poor. We did not recognize digestive organ symptoms such as postoperative passage disorders nor mediastinitis. The patient was discharged from our hospital on postoperative day 24.

 

Jpn. J. Cardiovasc. Surg. 47:192-195（2018）

Keywords：postoperative esophageal cancer;retrosternal gastric tube reconstruction;median sternotomy;Stanford type A acute aortic dissection;total aortic arch replacement