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Case Reports
. 2023 Mar 23;15(3):e36610.
doi: 10.7759/cureus.36610. eCollection 2023 Mar.

Coronary Artery Bypass Surgery in a Preoperative Total Laryngectomy Patient

Emeka B Kesieme  1 , Erica Tsoi  2 , Keith G Buchan  1
Affiliations
Case Reports

Coronary Artery Bypass Surgery in a Preoperative Total Laryngectomy Patient

Emeka B Kesieme et al. Cureus. .

Abstract

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 manubrium-sparing T-shaped ministernotomy to preserve tissues and to avoid the disruption of the anatomy of the lower neck and superior mediastinum.

Keywords: coronary artery bypass grafting; laryngectomy; manubrium-sparing sternotomy; permanent tracheostomy; recurrent laryngeal carcinoma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Tumour in the left posterior glottic region
Figure 2
Figure 2. Image showing planned skin incision, medial end of both clavicles and marked sternal notch
Figure 3
Figure 3. Manubrium-sparing sternotomy sparing the upper 6 cm
See this image and copyright information in PMC

References

    1. Manubrium-sparing sternotomy and off-pump coronary artery bypass grafting in patients with tracheal stoma. Ricci M, Salerno TA, Houck JP. Ann Thorac Surg. 2000;70:679–680. - PubMed
    1. Off-pump CABG in a patient with laryngectomy and permanent tracheostomy utilizing low midline skin incision with transverse skin flaps and manubrium sparing sternotomy. Freeland KT, Davies JE. J Card Surg. 2016;31:439–440. - PubMed
    1. 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 K, Mamoru A, Makino J, Nakamura N, Shinshi M, Nakata H, Adachi K. Gen Thorac Cardiovasc Surg. 2020;68:633–636. - PubMed
    1. Robotically assisted minimally invasive off-pump coronary artery bypass surgery in a patient with permanent tracheostomy. Ramponi F, Flynn CD, Wilson MK. Heart Lung Circ. 2017;26:0–7. - PubMed
    1. Manubrium-sparing median sternotomy as a uniform approach for cardiac operations. Choi JB, Yang HW, Han JO, Choi SH. https://pubmed.ncbi.nlm.nih.gov/10830626/ Tex Heart Inst J. 2000;27:32–36. - PMC - PubMed

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