title: Usefulness of a partial median sternotomy for acute infectious endocarditis in patients with tracheostoma.
abstract: Infectious endocarditis patients occasionally need emergency cardiac surgery even if they have a tracheostoma. However, a median full-sternotomy approach carries increased risk for sternal infection and lethal mediastinitis in cardiac surgery for patients with tracheostomas. We successfully performed valve replacement procedures using a lower partial median sternotomy approach in 6 infectious endocarditis patients with tracheostomas. There were neither operative deaths nor complications related to wound infection in these cases. The partial sternotomy approach represents a safe alternative in cardiac surgery for acute infectious endocarditis patients with tracheostomas who need emergent surgery.
authors: Department of Cardiovascular Surgery, School of Medicine, Kinki University, Osaka-Sayama, Osaka, Japan. toshio_kaneda@hotmail.com
authors: Toshio
authors: T
authors: Kaneda
authors: Toshihiko
authors: T
authors: Saga
authors: Takako
authors: T
authors: Nishino
authors: Kohsuke
authors: K
authors: Fujii
authors: Yukami
authors: Y
authors: Shintaro
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D004696:Endocarditis / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D056346:Sternotomy / Q000009:adverse effects; D013997:Time Factors; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome