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Ann Thorac Surg 2000;70:679-680
© 2000 The Society of Thoracic Surgeons

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Manubrium-sparing sternotomy and off-pump coronary artery bypass grafting in patients with tracheal stoma

Marco Ricci, MD, PhDa, Tomas A. Salerno, MDa, James P. Houck, MDa

a Division of Cardiothoracic Surgery, Erie County Medical Center and State University of New York at Buffalo, Buffalo, New York, USA

Address reprint requests to Dr Houck, 462 Grider St, Buffalo, NY 14215
e-mail: giacomoph{at}email.msn.com

The presence of a tracheal stoma in patients with previous total laryngectomy who require cardiac operations is associated with an increased risk of wound complications and tracheal injuries when a full sternotomy is used. The aim of this report is to describe a technique of manubrium-sparing sternotomy, which can be used in patients undergoing coronary artery bypass grafting without cardiopulmonary bypass




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