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 journalArticlepeer-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 languageEnglish
Pages (from-to)e65-e67
Number of pages3
JournalHeart, Lung and Circulation
Volume26
Issue number11
DOIs
Publication statusPublished - Nov 2017
Externally publishedYes

Keywords

  • Coronary bypass
  • Robotic
  • Tracheostomy

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