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Kyobu Geka. 2011 May;64(5):387-9.

[Application of the lower partial sternotomy approach to patients who may need tracheostomy in the early period after cardiac surgery].

[Article in Japanese]

Author information

  • 1Department of Cardiovascular Surgery, Kinki University, Osakasayama, Japan.


Recent good results of cardiovascular surgery have led to expansion of its indication to elderly patients and patients with serious complications. Such patients may have serious respiratory complications after cardiac surgery and need to undergo tracheostomy relatively early in the postoperative period. Although the full sternotomy approach is the standard in almost all cardiac surgeries, superficial and deep sternal infections are rather common after early tracheostomy in full sternotomy patients. The lower partial sternotomy approach is a safer and more useful procedure in patients who will need tracheostomy in the early period after cardiac surgery. We report on 2 patients who were successfully tracheostomized within a week after cardiac surgery, with a review of the literature.

[PubMed - indexed for MEDLINE]
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