Coronary revascularization through a median sternotomy after pre-sternal jejunum reconstruction for esophageal carcinoma.

Cardiac surgery after an operation for esophageal carcinoma is technically challenging. Herein, we report a case of a 77-year-old man with unstable angina after esophagectomy with jejunum reconstruction through a pre-sternal route. The patient was successfully treated by coronary artery bypass grafting through a median sternotomy. In this difficult and rare situation, a median sternotomy was still possible by a careful preoperative examination and intraoperative strategy.