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Ann Thorac Surg 1988;46:465-466
© 1988 The Society of Thoracic Surgeons

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Articles

Coronary Artery Bypass Grafting in Patients with a Tracheostoma: Use of a Bilateral Thoracotomy Incision

Divisions of Cardiothoracic Surgery, Washington University School of Medicine and The Jewish Hospital at Washington University Medical Center, St. Louis, MO, and the Division of Thoracic and Cardiovascular Surgery, University of Iowa, Iowa City, IA

Accepted for publication May 4, 1988.

^* Address reprint requests to Dr. Marshall, do The Watson Clinic, Division of Thoracic Surgery, 1600 Lakeland Hites Blvd, Lakeland, FL 33804-5000

	Abstract

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The performance of cardiac surgical procedures via median sternotomy in patients with a tracheostoma can present difficult problems, including stomal necrosis, mediastinitis, and inadequate operative exposure. Bilateral thoracotomy is an alternative approach in such patients. This approach separates the stoma from the operative field and provides satisfactory exposure for internal mammary artery dissection and performance of coronary artery bypass grafting.

	References

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1. Kaiser LR, Salerno TA. Coronary artery bypass in patients with total laryngectomy Ann Thorac Surg 1985;39:481.[Abstract/Free Full Text]
2. Bowman GA, Grishkin BA, Head HD. Sternotomy with tracheostoma [letters to the editor] Ann Thorac Surg 1986;42:119.[Free Full Text]
3. Ungerleider RM, Mills NL, Wechsler AS. Left thoracotomy for reoperative coronary artery bypass procedures Ann Thorac Surg 1985;40:11.[Abstract/Free Full Text]
4. Knight JL, Cohn LH. Left thoracotomy and femoro-femoral bypass for re-operative revascularization of the posterior coronary circulation J Cardiac Surg 1987;2:343.[Medline]

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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Marshall, W. G. Articles by Ehrenhaft, J. L. Search for Related Content PubMed PubMed Citation Articles by Marshall, W. G., Jr. Articles by Ehrenhaft, J. L.