Japanese Journal of Cardiovascular Surgery Vol.50, No.6

Cardiac Surgery through a Partial Sternotomy for Combined Valvular Disease in a Patient with Tracheostoma
Hiroki Sunadoi* Masato Fusegawa* Kenichiro Suno*
Ryota Murase* Takashi Sugiki* Yutaka Makino*

(Department of Cardiovascular Surgery, Oji General Hospital*, Tomakomai, Japan)

A median full-sternotomy should be avoided in patients with tracheostoma because of the risk of sternal infection and mediastinitis. Recently, there have been some reports on cardiac surgery through a partial sternotomy for combined valvular disease. We present a case in which aortic valve replacement and mitral valve replacement and tricuspid valve annuloplasty were successfully performed through a reverse L shape partial sternotomy. This approach minimizes an incision and secures a distance between the incision and tracheostoma.

 

Jpn. J. Cardiovasc. Surg. 50:387-390(2021)

Keywords:partial sternotomy;tracheostoma;combined valvular disease


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