Legarra, J.J. (Juan José)
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- Surgical approach for cardiac surgery in a patient with tracheostoma(Oxford University Press, 1998) Lopez-Coronado, J.L. (José Luis); Legarra, J.J. (Juan José); Martin-Trenor, A. (Alejandro); Sarralde, J.A. (José Aureliio)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.
- Hematoma pericárdico dos años después de cirugía coronaria(Elsevier España, 1997) Stefano, S. (Salvatore) di; Legarra, J.J. (Juan José); Alegria, E. (Eduardo); Barba, J. (Joaquín); Garcia-Fuster, R. (Rafael); Llorens, R. (Rafael); Melero, J.M. (José María)Cardiac tamponade is a life-threatening complication after cardiac surgery which may develop in the early or late postoperative period. The latest have been defined arbitrarily as the ones ocurring after the 7th postoperative day. They are less common than the early ones and most of the cases have been reported up to six months after the operation. They usually determine diagnostic difficulties that can negatively influence the prognosis. Because of its atypical late appearance, a case of a 65 year old man is presented who developed a postpericardiotomy syndrome and subsequently a pericardial clot nearly two years after aortocoronary bypass grafting.