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Eur J Cardiothorac Surg 2006;30:190
© 2006 Elsevier Science NL

Images in cardio-thoracic surgery

Noninvasive evaluation of gastric tube blood supply with multislice computed tomography

Iacopo Carbone a , * , Adriano Ascarelli a , Federico Francioni b , Roberto Passariello a

a Department of Radiological Science, Policlinico Umbero I°, University of Rome "La Sapienza", Viale del Policlinico 155, 00161 Rome, Italy
b Department of Thoracic Surgery, Policlinico Umberto I°, University of Rome "La Sapienza", Viale del Policlinico 155, 00161 Rome, Italy

Received 15 February 2006; accepted 10 March 2006.

* Corresponding author. Tel.: +39 03287612383; fax: +39 065741298. (Email: iacopo_carbone{at}hotmail.com).

Key Words: Gastric tube • Right gastroepiploic artery • MSCT

A 57-year-old man with esophageal carcinoma underwent total esophagectomy and cervico-abdominal reconstruction using a gastric tube. One year after surgery, a multislice computed tomography (MSCT) scan was able to evaluate the blood supply to the gastric tube by right gastroepiploic artery (Figs. 1 and 2 ).


Figure 1
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  		Fig. 1. MSCT angiography: volume-rendering reconstruction, after subtraction of gastric tube, showing the origin of right gastroepiploic artery (yellow arrowhead) from the celiac trunk (black arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of the article.)

 

Figure 2
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  		Fig. 2. MSCT angiography: volume-rendering reconstruction. Panoramic view of the gastric tube blood supply obtained by right gastroepiploic artery (white arrowheads) after subtraction of gastric tube.

 





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