Robotically assisted minimally invasive off-pump coronary artery bypass surgery in a patient with permanent tracheostomy

Fabio Ramponi; Campbell D. Flynn; Michael K. Wilson

doi:10.1016/j.hlc.2017.02.025

Robotically assisted minimally invasive off-pump coronary artery bypass surgery in a patient with permanent tracheostomy

Fabio Ramponi^*, Campbell D. Flynn, Michael K. Wilson

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Background Patients with a permanent tracheostomy requiring coronary surgery represent a unique challenge, being at increased risk of sternal wound complications, mediastinitis and stoma necrosis. Several techniques have been described including manubrium sparing sternotomy, thoracoscopic internal mammary harvest and hybrid revascularisation. Methods We report a case of robotic assisted (daVinci ^® Xi™ Surgical System) total arterial off-pump revascularisation in a patient with previous laryngectomy and permanent tracheostomy. The main advantage of this approach was to minimise the risk of postoperative sternal complication and mediastinatis, whilst still providing the prognostic benefit of total arterial grafting and the neurological advantage of the aorta no-touch technique.

Original language	English
Pages (from-to)	e65-e67
Number of pages	3
Journal	Heart, Lung and Circulation
Volume	26
Issue number	11
DOIs	https://doi.org/10.1016/j.hlc.2017.02.025
Publication status	Published - Nov 2017
Externally published	Yes

Keywords

Coronary bypass
Robotic
Tracheostomy

Access to Document

10.1016/j.hlc.2017.02.025

Cite this

@article{f6f06e6f46a04e029da925f7a86ed8b6,

title = "Robotically assisted minimally invasive off-pump coronary artery bypass surgery in a patient with permanent tracheostomy",

abstract = "Background Patients with a permanent tracheostomy requiring coronary surgery represent a unique challenge, being at increased risk of sternal wound complications, mediastinitis and stoma necrosis. Several techniques have been described including manubrium sparing sternotomy, thoracoscopic internal mammary harvest and hybrid revascularisation. Methods We report a case of robotic assisted (daVinci {\textregistered} Xi{\texttrademark} Surgical System) total arterial off-pump revascularisation in a patient with previous laryngectomy and permanent tracheostomy. The main advantage of this approach was to minimise the risk of postoperative sternal complication and mediastinatis, whilst still providing the prognostic benefit of total arterial grafting and the neurological advantage of the aorta no-touch technique. ",

keywords = "Coronary bypass, Robotic, Tracheostomy",

author = "Fabio Ramponi and Flynn, {Campbell D.} and Wilson, {Michael K.}",

year = "2017",

month = nov,

doi = "10.1016/j.hlc.2017.02.025",

language = "English",

volume = "26",

pages = "e65--e67",

journal = "Heart, Lung and Circulation",

issn = "1443-9506",

publisher = "Elsevier",

number = "11",

}

TY - JOUR

T1 - Robotically assisted minimally invasive off-pump coronary artery bypass surgery in a patient with permanent tracheostomy

AU - Ramponi, Fabio

AU - Flynn, Campbell D.

AU - Wilson, Michael K.

PY - 2017/11

Y1 - 2017/11

N2 - Background Patients with a permanent tracheostomy requiring coronary surgery represent a unique challenge, being at increased risk of sternal wound complications, mediastinitis and stoma necrosis. Several techniques have been described including manubrium sparing sternotomy, thoracoscopic internal mammary harvest and hybrid revascularisation. Methods We report a case of robotic assisted (daVinci ® Xi™ Surgical System) total arterial off-pump revascularisation in a patient with previous laryngectomy and permanent tracheostomy. The main advantage of this approach was to minimise the risk of postoperative sternal complication and mediastinatis, whilst still providing the prognostic benefit of total arterial grafting and the neurological advantage of the aorta no-touch technique.

AB - Background Patients with a permanent tracheostomy requiring coronary surgery represent a unique challenge, being at increased risk of sternal wound complications, mediastinitis and stoma necrosis. Several techniques have been described including manubrium sparing sternotomy, thoracoscopic internal mammary harvest and hybrid revascularisation. Methods We report a case of robotic assisted (daVinci ® Xi™ Surgical System) total arterial off-pump revascularisation in a patient with previous laryngectomy and permanent tracheostomy. The main advantage of this approach was to minimise the risk of postoperative sternal complication and mediastinatis, whilst still providing the prognostic benefit of total arterial grafting and the neurological advantage of the aorta no-touch technique.

KW - Coronary bypass

KW - Robotic

KW - Tracheostomy

UR - http://www.scopus.com/inward/record.url?scp=85018679697&partnerID=8YFLogxK

U2 - 10.1016/j.hlc.2017.02.025

DO - 10.1016/j.hlc.2017.02.025

M3 - Article

C2 - 28456599

AN - SCOPUS:85018679697

SN - 1443-9506

VL - 26

SP - e65-e67

JO - Heart, Lung and Circulation

JF - Heart, Lung and Circulation

IS - 11

ER -

Robotically assisted minimally invasive off-pump coronary artery bypass surgery in a patient with permanent tracheostomy

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this