Surgical approach for cardiac surgery in a patient with tracheostoma
Palabras clave : 
Aortic Valve Stenosis/complications/surgery
Cardiac Surgical Procedures/methods
Cardiopulmonary Bypass
Fecha de publicación: 
1998
Editorial : 
Oxford University Press
ISSN: 
1010-7940
Cita: 
Legarra JJ, Sarralde JA, Lopez Coronado JL, Trenor AM. Surgical approach for cardiac surgery in a patient with tracheostoma. Eur J Cardiothorac Surg 1998 Sep;14(3):338-339.
Resumen
The thoracic approach for cardiac surgery in a patient with a tracheostoma can result in difficult problems, such as mediastinitis, stoma necrosis or inadequate operative exposure. We present a distinct approach consisting of an incision at the second intercostal space, transverse sternum transection and longitudinal median sternotomy to the xiphoid process, performed for coronary artery bypass grafting and aortic valve replacement, in a patient with previous tracheotomy. This approach permitted adequate surgical exposure for cardiopulmonary bypass, aortic valve replacement and coronary revascularization procedures.

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Fichero: 
Er J Cardio-Thora Surg 1998.338.pdf
Descripción: 
Tamaño: 
309,83 kB
Formato: 
Adobe PDF


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