A tracheostomy case of aortic valve regurgitation successfully treated by a lower mini-sternotomy technique.
The performance of cardiac surgical procedures via median sternotomy in a patient with a tracheostomy can result in difficult problems, such as mediastinitis, stoma necrosis or inadequate operative exposure. We present a case of successful treatment for aortic valve regurgitation in a patient with a tracheostomy using a T-shaped sternotomy instead of a usual median sternotomy. This approach permitted adequate surgical exposure for cardiopulmonary bypass and aortic valve replacement. After surgery, the patient had a good clinical course without any complications and he was discharged on the 65th postoperative day. We consider this procedure to be applicable in consideration of the favorable results obtained.
Mizukami
Taketomo
T
Department of Thoracic and Cardiovascular Surgery, Hiroshima Prefectural Hiroshima Hospital, Hiroshima, Japan.
Hamanaka
Yoshiharu
Y
Mitsui
Norimasa
N
Hirai
Shinji
S
Isaka
Mitsuhiro
M
D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery; D004452:Echocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D013249:Sternum / Q000000981:diagnostic imaging / Q000601:surgery*; D014139:Tracheostomy / Q000379:methods