title: Coronary artery bypass grafting by median sternotomy in patients with a tracheostoma.
abstract: The approach to the heart for open heart surgery in patients with a tracheostoma requires careful consideration. The presence of a tracheostoma interferes with the standard sternotomy and increases the risk of mediastinitis. We have successfully performed coronary artery bypass grafting in two patients with a tracheostoma using the limited median sternotomy and describe the surgical procedure used in these patients.
authors.affiliation: Department of Cardiothoracic Surgery, University of Tokyo, School of Medicine, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Ono
authors.forename: Y
authors.initials: Y
authors.lastname: Kotsuka
authors.forename: A
authors.initials: A
authors.lastname: Furuse
authors.forename: M
authors.initials: M
authors.lastname: Kawauchi
authors.forename: M
authors.initials: M
authors.lastname: Takeshita
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013249:Sternum / Q000601:surgery*; D014139:Tracheostomy