在一名全喉切除并伴有永久性气管造口术的患者中，经保留胸骨柄的胸骨切开术进行冠状动脉旁路移植术。
Coronary artery bypass grafting via manubrium-sparing sternotomy in a patient with total laryngectomy and a permanent tracheostoma.
作者信息
Imasaka Ken-Ichi, Onzuka Tatsushi, Nomura Ryuya, Fukuda Tomofumi, Hirata Yuichiro, Morita Shigeki, Shiose Akira
机构信息
Department of Cardiovascular Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Department of Cardiovascular Surgery, Faculty of Medicine, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
出版信息
Indian J Thorac Cardiovasc Surg. 2022 Jul;38(4):398-402. doi: 10.1007/s12055-021-01309-8. Epub 2022 Jan 14.
UNLABELLED
For patients who have previously undergone total laryngectomy and a permanent tracheostomy, median full sternotomy is not the ideal surgical approach because of the substantially increased risk of sternal wound complications and tracheal injuries. We present a case in which conventional coronary artery bypass grafting using bilateral internal thoracic arteries was performed safely via a manubrium-sparing sternotomy in a patient who had undergone total laryngectomy and a permanent tracheostoma. We also discuss the appropriate surgical approach for patients with total laryngectomy and a permanent tracheostoma.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12055-021-01309-8.
未标注
对于先前接受过全喉切除术和永久性气管造口术的患者，正中全胸骨切开术并非理想的手术方法，因为胸骨伤口并发症和气管损伤的风险会大幅增加。我们报告一例病例，该患者接受过全喉切除术和永久性气管造口术，通过保留胸骨柄的胸骨切开术安全地进行了使用双侧胸廓内动脉的传统冠状动脉旁路移植术。我们还讨论了全喉切除术和永久性气管造口术患者的合适手术方法。
补充信息
在线版本包含可在10.1007/s12055-021-01309-8获取的补充材料。
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