Off-pump coronary artery bypass grafting via left anterior thoracotomy from the 4th costal space in a patient with total laryngectomy and a permanent tracheostoma

Akiyoshi, Kei; Arakawa, Mamoru; Makino, Jun; Nakamura, N; Shinshi, Mio; Nakata, Hiroko; Adachi, Koichi

doi:10.1007/s11748-019-01143-1

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2022

2023

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“…Numerous papers have been published dealing with the topic of how to undertake cardiac surgery in patients who have previously undergone laryngectomy [1][2][3]. We have been unable to find any article dealing with the rarer situation of someone awaiting laryngectomy who required urgent cardiac surgery as a prelude to major head and neck surgery.…”

Section: Introductionmentioning

confidence: 99%

Coronary Artery Bypass Surgery in a Preoperative Total Laryngectomy Patient

Kesieme¹,

Tsoi²,

Buchan³

2023

Cureus

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For patients awaiting urgent total laryngectomy who require coronary artery bypass grafting (CABG), the conventional median sternotomy should be avoided. We present a 69-year-old male who had urgent CABG as a prelude to an urgent laryngectomy for recurring laryngeal carcinoma. We recommend a manubriumsparing T-shaped ministernotomy to preserve tissues and to avoid the disruption of the anatomy of the lower neck and superior mediastinum.

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Section: Introductionmentioning

confidence: 99%