Off-pump coronary artery bypass grafting in a tracheostomy patient

  • Mio KasaiEmail author
  • Motohiko Osako
  • Toshiyuki Yamada
  • Kentaro Yamabe
Case Report


In patients who have undergone laryngectomy and have a tracheal stoma, a full median sternotomy substantially increases the risk of wound infection, osteomyelitis, mediastinitis, bleeding, tracheal injury, and poor wound healing. Several reports have been published on sternotomies and skin incisions in tracheostoma patients. Transverse bilateral thoracosternotomy, T-shaped partial sternotomy (manubrium-sparing sternotomy) with transverse skin flaps and anterolateral thoracotomy with partial sternotomy are described as successful approaches to the mediastinum for cardiac surgery. We present a successful case in which off-pump coronary artery bypass grafting (CABG) was performed in a tracheostoma patient using a low T-shaped partial sternotomy and the PAS-Port system. Good long-term results were achieved.


Coronary artery bypass grafting Tracheostoma Lower partial sternotomy Thoracotomy Thoracic approach 


Compliance with ethical standards

Conflict of interest

The authors have declared that no conflict of interest exists.


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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • Mio Kasai
    • 1
    Email author
  • Motohiko Osako
    • 1
  • Toshiyuki Yamada
    • 1
  • Kentaro Yamabe
    • 1
  1. 1.Department of Cardiovascular SurgeryNational Hospital Organization Tokyo Medical CenterTokyoJapan

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