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Ann Thorac Surg. 1999 Apr;67(4):1153-4.

Video-assisted coronary artery bypass in patients with preexisting tracheostomy.

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Hôpital de la Pitié, Paris, France.


A new technique allowing revascularization of the left coronary artery through a small thoracotomy after videoscopic harvesting of both mammary arteries is proposed in patients with total laryngectomy. This anterior thoracotomy approach, of real interest in patients with a preexisting tracheostomy, needs to be compared with a classic sternotomy in terms of functional recovery and the prevention of mediastinal sepsis in certain high-risk categories of patients (e.g., obesity, diabetes) for bilateral mammary artery harvesting.

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