Coronary surgery through partial sternotomy in a patient with tracheostoma.
We report successful coronary artery bypass grafting through a lower partial sternotomy for a patient with a tracheostoma. He required a tracheotomy for serious laryngeal edema which developed during anesthetic induction prior to elective conventional coronary surgery. A safe alternative approach, comprising a lower midline skin incision with a lower partial sternotomy distant from the stoma, facilitated coronary artery bypass grafting to the left and right coronary arteries after four weeks.
Ogino
H
H
Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan.
Ueda
Y
Y
Yoshioka
T
T
Matsubayashi
K
K
D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D007819:Laryngeal Edema / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013249:Sternum / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods; D014139:Tracheostomy