Surgical approach for cardiac surgery in a patient with tracheostoma

The thoracic approach for cardiac surgery in a patient with a tracheostoma can result in difficult problems, such as mediastinitis, stoma necrosis or inadequate operative exposure. We present a distinct approach consisting of an incision at the second intercostal space, transverse sternum transectio...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 1998-09, Vol.14 (3), p.338-339
Main Authors: Legarra, Juan José, Sarralde, José Aurelio, López Coronado, José Luis, Trenor, Alejandro Martín
Format: Article
Language:English
Subjects:
Aged
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - surgery
Biological and medical sciences
Cardiac surgery
Cardiac Surgical Procedures - methods
Cardiopulmonary Bypass
Coronary Artery Bypass - methods
Coronary Disease - complications
Coronary Disease - surgery
Follow-Up Studies
Heart Valve Prosthesis Implantation - methods
Humans
Male
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thoracic approach
Tracheostoma
Tracheostomy
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Summary:The thoracic approach for cardiac surgery in a patient with a tracheostoma can result in difficult problems, such as mediastinitis, stoma necrosis or inadequate operative exposure. We present a distinct approach consisting of an incision at the second intercostal space, transverse sternum transection and longitudinal median sternotomy to the xiphoid process, performed for coronary artery bypass grafting and aortic valve replacement, in a patient with previous tracheotomy. This approach permitted adequate surgical exposure for cardiopulmonary bypass, aortic valve replacement and coronary revascularization procedures.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(98)00191-2