Coronary artery bypass grafting via manubrium-sparing sternotomy in a patient with total laryngectomy and a permanent tracheostoma.

Autor: Imasaka, Ken-ichi, Onzuka, Tatsushi, Nomura, Ryuya, Fukuda, Tomofumi, Hirata, Yuichiro, Morita, Shigeki, Shiose, Akira
Zdroj: Indian Journal of Thoracic & Cardiovascular Surgery; Jul2022, Vol. 38 Issue 4, p398-402, 5p
Abstrakt: For patients who have previously undergone total laryngectomy and a permanent tracheostomy, median full sternotomy is not the ideal surgical approach because of the substantially increased risk of sternal wound complications and tracheal injuries. We present a case in which conventional coronary artery bypass grafting using bilateral internal thoracic arteries was performed safely via a manubrium-sparing sternotomy in a patient who had undergone total laryngectomy and a permanent tracheostoma. We also discuss the appropriate surgical approach for patients with total laryngectomy and a permanent tracheostoma. [ABSTRACT FROM AUTHOR]
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