title: Manubrium-sparing sternotomy and off-pump coronary artery bypass grafting in patients with tracheal stoma.
abstract: The presence of a tracheal stoma in patients with previous total laryngectomy who require cardiac operations is associated with an increased risk of wound complications and tracheal injuries when a full sternotomy is used. The aim of this report is to describe a technique of manubrium-sparing sternotomy, which can be used in patients undergoing coronary artery bypass grafting without cardiopulmonary bypass.
authors.affiliation: Division of Cardiothoracic Surgery, Erie County Medical Center and State University of New York at Buffalo, USA.
authors.forename: M
authors.initials: M
authors.lastname: Ricci
authors.forename: T A
authors.initials: TA
authors.lastname: Salerno
authors.forename: J P
authors.initials: JP
authors.lastname: Houck
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D007825:Laryngectomy; D008371:Manubrium; D013249:Sternum / Q000601:surgery*; D014139:Tracheostomy