Abstract
This case report details our experience of aortic valve replacement(AVR) following esophagectomy for esophageal cancer.The route of the retrosternal gastric tube was clearly visualized by esophagogram and CT. A mini-sternotomy was performed safely, resulting in minimal dissection of the retrosternal adhesion and a good exposure to institute extracorporeal circulation and perform the AVR. The patient was discharged uneventfully and was in NYHA class I at three months after surgery. A ministernotomy is a safe alternative approach for good exposure of the heart when performing AVR in patients with a retrosternal gastric tube.
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