title: [Application of partial median sternotomy in cardiac surgery in patients with tracheostoma].
abstract: Median full-sternotomy carries a risk of sternal infection and lethal mediastinitis in cardiac surgery. We performed open-heart surgery through partial median sternotomy in 5 patients with tracheostomy. Coronary artery bypass grafting (CABG) was performed in 3 patients, aortic valve replacement in 1, and mitral valve replacement in 1. No operative deaths or complications related to wound infection occurred. Partial sternotomy represents a safe alternative in cardiac surgery in patients with tracheostoma.
authors.affiliation: Department of Cardiovascular Surgery, Kinki University, Osakasayama, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Kaneda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Saga
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kitayama
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawasaki
authors.forename: Kiyoaki
authors.initials: K
authors.lastname: Takaba
authors.forename: Masato
authors.initials: M
authors.lastname: Imura
authors.forename: Kosuke
authors.initials: K
authors.lastname: Fujii
authors.forename: Takako
authors.initials: T
authors.lastname: Nishino
authors.forename: Shintaro
authors.initials: S
authors.lastname: Yukami
mesh_terms: D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D056346:Sternotomy / Q000379:methods*; D014139:Tracheostomy