Simultaneous transhiatal esophagectomy and coronary artery bypass graftingwithout cardiopulmonary bypass

A 69-year-old patient underwent simultaneous transhiatal esophagectomy for carcinoma of the esophagogastric junction and benign spindle cell gastric t umor and coronary artery by pass grafting without cardiopulmonary bypass, A standard technique of transhiatal esophagectomy was used. The long sapheno us vein was grafted to the left anterior descending artery and to the dista l circumflex artery, The total theatre time tvas 6.5 h and the total ischem ic time was 19 min. The patient made a good recovery and was discharged on day is, We is enjoying an active lifestyle 6 months post-operatively.