Ng. Smedira et al., BILATERAL THORACOTOMY AND INFERIOR STERNOTOMY FOR BYPASS-GRAFTING AFTER ESOPHAGOSTOMY, The Annals of thoracic surgery, 63(3), 1997, pp. 847-849
In the presence of a cervical esophagostomy, a median sternotomy may j
eopardize the stoma, risk mediastinal or sternal infection, and potent
ially compromise future esophageal operations. Coronary artery bypass
grafting was performed using a modified bilateral thoracotomy before e
sophageal reconstruction in a patient with cervical esophagostomy. The
surgical technique is described with a review of the relevant literat
ure. (C) 1997 by The Society of Thoracic Surgeons.