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Ann Thorac Surg 1985;39:481-482
© 1985 The Society of Thoracic Surgeons


Articles

Coronary Artery Bypass in Patients with Total Laryngectomy

Larry R. Kaiser, M.D., Tomas A. Salerno, M.D.*

From the Division of Cardiovascular Surgery, University of Toronto, and St. Michael's Hospital, Toronto, Ont, Canada

Accepted for publication August 2, 1984.

* Address reprint requests to Dr. Salerno, St. Michael's Hospital, 30 Bond St, Toronto, Ont, Canada M5B 1W8

Patients who have undergone laryngectomy pose a challenge when they require coronary artery bypass grafting. The location of the tracheal stoma just above the jugular notch may interfere with the sternotomy, increase the risk of infection, and add some difficulty to the operative procedure. We describe the surgical technique used in 2 such patients.




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