Coronary artery bypass grafting via manubrium-sparing sternotomy in a patient with total laryngectomy and a permanent tracheostoma.

ABSTRACT: For patients who have previously undergone total laryngectomy and a permanent tracheostomy, median full sternotomy is not the ideal surgical approach because of the substantially increased risk of sternal wound complications and tracheal injuries. We present a case in which conventional coronary artery bypass grafting using bilateral internal thoracic arteries was performed safely via a manubrium-sparing sternotomy in a patient who had undergone total laryngectomy and a permanent tracheostoma. We also discuss the appropriate surgical approach for patients with total laryngectomy and a permanent tracheostoma.

Supplementary information

The online version contains supplementary material available at 10.1007/s12055-021-01309-8.

SUBMITTER: Imasaka KI 

PROVIDER: S-EPMC9218033 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature