Luangthong N.Yamamoto S.Oshima S.Hirokami T.Ozaki K.Mahidol University2023-11-212023-11-212023-01-01Asian Cardiovascular and Thoracic Annals (2023)02184923https://repository.li.mahidol.ac.th/handle/20.500.14594/91117Background: Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage. Case presentation: A 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.MedicineArticleSCOPUS10.1177/021849232312134292-s2.0-8517630849318165370