Coronary Artery Bypass Grafting by Median Sternotomy in Patients with a Tracheostoma

1998 ◽  
Vol 46 (01) ◽  
pp. 49-51 ◽  
Author(s):  
M. Ono ◽  
Y. Kotsuka ◽  
A. Furuse ◽  
M. Kawauchi ◽  
M. Takeshita
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

scholarly journals Сoronary Artery Bypass Grafting in a Patient with Congenital Chest Abnormality with Poland Syndrome

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Michael Mikhailovich Alshibaya ◽  
Maxim Leonidovich Mamalyga ◽  
Dzhanybek Yerikovich Musin ◽  
Alexey Vladimirovich Dorofeev ◽  
Gela Guramovich Getsadze ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Postoperative Complications ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Poland Syndrome ◽  
Bypass Grafting ◽  
Successful Completion ◽  
Artery Bypass Grafting

Introduction: A rare clinical case of coronary artery bypass grafting in congenital chest abnormality with Poland syndrome is described. This syndrome is a congenital anomaly, which is characterized by a combination of unilateral aplasia or hypoplasia of the sternocostal head of the pectoralis major muscle with ipsilateral brachysyndactyly in the classic version. The cause of Poland syndrome is unknown, but it is believed that it can form with a short-term decrease in blood flow in the subclavian and vertebral arteries. Case Presentation: The presented case shows the possibility of successful completion of coronary artery bypass grafting in Poland syndrome. Revascularization by transluminal balloon angioplasty with stenting reduces the risk of postoperative complications. However, given the degree of damage to the coronary bed and myocardium, in some cases, the patient needs to undergo only coronary artery bypass grafting. The presented case shows the possibility of successful completion of coronary artery bypass grafting in Poland syndrome. Conclusions: We believe that, despite the high risks of postoperative complications, patients with Poland syndrome can be recommended to perform a planned operation of coronary artery bypass grafting, including access through a median sternotomy.

scholarly journals Coronary artery bypass grafting via median sternotomy or lateral minithoracotomy

1999 ◽  
Vol 16 (Supplement_2) ◽  
pp. S48-S52
Author(s):  
Vassilios Gulielmos ◽  
Michael Brandt ◽  
Hans-Martin Dill ◽  
Michael Knaut ◽  
Romuald Cichon ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Exposures of Lateral and Inferior Cardiac Surface for Coronary Anastomosis during Minimally Invasive Coronary Artery Bypass Grafting

2015 ◽  
Vol 10 (1) ◽  
pp. 73-75 ◽  
Author(s):  
Shantanu Pande ◽  
Devendra Gupta ◽  
CR Siddartha ◽  
Anubhav Bansal ◽  
Surendra K. Agarwal
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Minimally Invasive ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Inferior Surface ◽  
Off Pump

Exposure of the lateral and inferior surface of the heart during off-pump coronary artery bypass grafting is associated with some degree of cardiac instability during recovery with completion of grafting. Exposure of lateral and posterior surfaces by currently available equipment is difficult in minimally invasive coronary artery bypass grafting (MICABG) owing to limited exposure. We describe an effective variation of often-used technique of pericardial stitch in exposure of cardiac surfaces during MICABG. This technique was used in 24 patients undergoing multivessel MICABG. Deep pericardial sutures were used to manipulate the exposure of cardiac surfaces. Left anterior descending artery was grafted in all 24 cases. Obtuse marginal artery was grafted in 20 cases and posterior descending artery in 12 cases. Average grafts were 2.3 per patient. There was no conversion to median sternotomy. Use of deep pericardial suture is simple technique for exposure of lateral and inferior surface during multivessel MICABG. This offers adequate exposure and operating space for easy maneuverability.

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