Alternative redo sternotomy in a patient with tracheostoma and patent grafts

Kyokun Uehara, Kenji Minakata, Masaki Funamoto, Kazuhiro Yamazaki, Akira Marui, Ryuzo Sakata

Research output: Contribution to journalArticlepeer-review


We describe a redo mitral valve replacement operation in a 71-year-old man with a tracheostoma and patent bypass grafts to the coronary arteries. Preoperative investigations revealed that the patent right internal thoracic artery graft ran directly under the sternum just anterior to the ascending aorta, and a saphenous vein graft was adhering to a surgical wire. To prevent injury to the patent grafts and cardiac structures, and to avoid communication with the tracheostoma, the redo procedure was performed via an anterior minithoracotomy combined with a low T-shaped partial sternotomy. The reoperation was successfully completed without any complications.

Original languageEnglish
Pages (from-to)852-854
Number of pages3
JournalAsian Cardiovascular and Thoracic Annals
Issue number7
StatePublished - Sep 2014


  • Coronary artery bypass
  • Tracheostomy
  • heart valve prosthesis implantation
  • mitral valve
  • sternotomy
  • thoracotomy


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