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Ann Thorac Cardiovasc Surg · Dec 2004
Case ReportsA tracheostomy case of aortic valve regurgitation successfully treated by a lower mini-sternotomy technique.
- Taketomo Mizukami, Yoshiharu Hamanaka, Norimasa Mitsui, Shinji Hirai, and Mitsuhiro Isaka.
- Department of Thoracic and Cardiovascular Surgery, Hiroshima Prefectural Hiroshima Hospital, Hiroshima, Japan.
- Ann Thorac Cardiovasc Surg. 2004 Dec 1; 10 (6): 379-81.
AbstractThe performance of cardiac surgical procedures via median sternotomy in a patient with a tracheostomy can result in difficult problems, such as mediastinitis, stoma necrosis or inadequate operative exposure. We present a case of successful treatment for aortic valve regurgitation in a patient with a tracheostomy using a T-shaped sternotomy instead of a usual median sternotomy. This approach permitted adequate surgical exposure for cardiopulmonary bypass and aortic valve replacement. After surgery, the patient had a good clinical course without any complications and he was discharged on the 65th postoperative day. We consider this procedure to be applicable in consideration of the favorable results obtained.
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