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Robotically Assisted Minimally Invasive Off-pump Coronary Artery Bypass Surgery in a Patient With Permanent Tracheostomy
Abstract Background Patients with a permanent tracheostomy requiring coronary surgery represent a unique challenge, being at increased risk of sternal wound complications, mediastinitis and stoma necrosis. Several techniques have been described including manubrium sparing sternotomy, thoracoscopic i...
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Published in: | Heart, lung & circulation lung & circulation, 2017-11, Vol.26 (11), p.e65-e67 |
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creator | Ramponi, Fabio, MD Flynn, Campbell D., MBBS Wilson, Michael K., FRACS |
description | Abstract Background Patients with a permanent tracheostomy requiring coronary surgery represent a unique challenge, being at increased risk of sternal wound complications, mediastinitis and stoma necrosis. Several techniques have been described including manubrium sparing sternotomy, thoracoscopic internal mammary harvest and hybrid revascularization. How to do it We report a case of robotic assisted ( daVinci® Xi™ Surgical System) total arterial off-pump revascularization in a patient with previous laryngectomy and permanent tracheostomy. The main advantage of this approach was to minimize the risk of post-operative sternal complication and mediastinatis, whilst still providing the prognostic benefit of total arterial grafting and the neurological advantage of the aorta no-touch technique. |
doi_str_mv | 10.1016/j.hlc.2017.02.025 |
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Several techniques have been described including manubrium sparing sternotomy, thoracoscopic internal mammary harvest and hybrid revascularization. How to do it We report a case of robotic assisted ( daVinci® Xi™ Surgical System) total arterial off-pump revascularization in a patient with previous laryngectomy and permanent tracheostomy. 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subjects | Cardiovascular Coronary Artery Bypass, Off-Pump - methods Coronary bypass Humans Male Middle Aged Minimally Invasive Surgical Procedures - methods Robotic Robotic Surgical Procedures - methods Tracheostomy |
title | Robotically Assisted Minimally Invasive Off-pump Coronary Artery Bypass Surgery in a Patient With Permanent Tracheostomy |
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