Coronary artery bypass grafting and aortic valve replacement in a patient with a tracheostoma.
We report a 67-year-old man with a tracheostoma who successfully underwent coronary artery bypass grafting and aortic valve replacement. He had received both a tracheostoma just above the sternal notch after total laryngectomy. As the standard full sternotomy might cause mediastinitis, we performed the operation through a lower half sternotomy with a limited skin incision. Postoperatively the wound was covered with a sterile plastic drape to prevent infection from the tracheostoma. The postoperative course was uneventful.
Kimura
Satoshi
S
Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, Fukuoka, Japan.
Kurisu
Kazuhiro
K
Tanaka
Kenichiro
K
Kumeda
Hiroshi
H
Tominaga
Ryuji
R
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001027:Aortography; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D017053:Infection Control / Q000379:methods; D007822:Laryngeal Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000517:prevention & control; D018579:Patient Selection; D012307:Risk Factors; D012501:Saphenous Vein / Q000637:transplantation; D013249:Sternum / Q000601:surgery; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome