Sternothoracotomy for combined coronary artery bypass grafting and left upper lobectomy in a patient with low-lying tracheostoma.
A 64-year-old man had a low-lying tracheostoma and presented with unstable angina and a mass in the pulmonary left upper lobe. Simultaneous coronary revascularization and resection of the lung neoplasm were completed through a sternothoracotomy (clam-shell) incision. The advantages of this approach include excellent exposure to the mediastinum and the lung fields, and the option of using both internal thoracic arteries for bypass grafting.
Rubens
F D
FD
Division of Cardiac Surgery, University of Ottawa, Ont. frubens@heartinst.on.ca
O'Brien
E
E
Shamji
F
F
O'Neil
J
J
Odell
P F
PF
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000601:surgery*; D009959:Oropharyngeal Neoplasms; D011013:Pneumonectomy / Q000379:methods; D013908:Thoracotomy / Q000379:methods*; D014139:Tracheostomy