title: Video-assisted coronary artery bypass in patients with preexisting tracheostomy.
abstract: A new technique allowing revascularization of the left coronary artery through a small thoracotomy after videoscopic harvesting of both mammary arteries is proposed in patients with total laryngectomy. This anterior thoracotomy approach, of real interest in patients with a preexisting tracheostomy, needs to be compared with a classic sternotomy in terms of functional recovery and the prevention of mediastinal sepsis in certain high-risk categories of patients (e.g., obesity, diabetes) for bilateral mammary artery harvesting.
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D007825:Laryngectomy; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D013908:Thoracotomy; D014139:Tracheostomy; D014182:Transplantation, Autologous; D014741:Video Recording