We report a 54-year-old man with a history of esophagectomy and retros
ternal esophagogastric anastomosis for esophageal cancer through right
thoracotomy in whom cardiac failure developed due to aortic regurgita
tion. He underwent aortic valve replacement through a left thoracotomy
with division of two great arteries and their strong traction toward
the surgeon by stay sutures. He has been well for 3 years postoperativ
ely in New York Heart Association class I.