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Ann Thorac Surg 1999;67:1153-1154
© 1999 The Society of Thoracic Surgeons


Case Reports

Video-assisted coronary artery bypass in patients with preexisting tracheostomy

Patrick Nataf, MDa, Mary Regan, MDa, Emanuele Cantoni, MDa, Nicolas Bonnet, MDa, Iradj Gandjbakhch, MDa

a Hôpital de la Pitié, Paris, France

Accepted for publication September 21, 1998.

Address reprint requests to Dr Nataf, Cardiac Surgery Department, Centre Cardiologique du Nord, 32 rue des Moulins Gémeaux, 93207 St Denis Cedex, France
e-mail: natafpat{at}worldnet.fr

A new technique allowing revascularization of the left coronary artery through a small thoracotomy after videoscopic harvesting of both mammary arteries is proposed in patients with total laryngectomy. This anterior thoracotomy approach, of real interest in patients with a preexisting tracheostomy, needs to be compared with a classic sternotomy in terms of functional recovery and the prevention of mediastinal sepsis in certain high-risk categories of patients (eg, obesity, diabetes) for bilateral mammary artery harvesting.




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