T-modification of sternotomy to accommodate a low-lying tracheostomy.
A low-lying tracheostomy can complicate a sternotomy for coronary artery bypass grafting. A modified "T" exposure, transecting the manubrium at the first intercostal space, can be utilized to maintain sternoclavicular architecture and avoid injury to the tracheostomy at the sternal notch.
Division of Cardiothoracic Surgery, Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA.
Kenneth J
KJ
Woodside
Joseph B
JB
Zwischenberger
D Adrian
DA
Olvera
Vincent R
VR
Conti
D006801:Humans; D013249:Sternum / Q000601:surgery*; D014139:Tracheostomy / Q000379:methods*