Korean J Thorac Cardiovasc Surg.
2001 Mar;34(3):246-248.
Closure of VSD in a Patient with Tracheostoma: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery Gil Heart Center, Korea. abc1000@dreamwiz.com
Abstract
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Open heart surgery in a patient with tracheostoma by standard median sternotomy increases the risk of wound infection or mediastinitis. In adults, the risk of mediastinal infection is decreased by using the high tracheostomy and minimally invasive approach for cardiac surgery. However the modified surgical approach is needed in infants due to their short neck. We have successfully performed the closure of ventricular septal defect, using the transverse sternotomy, in an infant with tracheostoma due to tracheomalacia.