Fig. 1

Electrocardiogram waveform changes in case 2. a Paroxysmal ventricular contractions (PVCs) emerged after starting the esophagogastrostomy. b Non-sustained ventricular tachycardia (VT) and ST elevation in lead II. c VT and ST elevation temporally disappeared after adjusting the position of the pericardium retractor and administering nicorandil. d PVCs reoccurred with ST elevation in lead II. e Persistent ST elevation in lead II after the pericardium retraction release. f Normal electrocardiogram in the end of surgery