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Korean J Thorac Cardiovasc Surg 2001; 34(3): 246-248

Published online March 5, 2001

Copyright © Journal of Chest Surgery.

Closure of VSD in a Patient with Tracheostoma - Acasereport -

Sang-Ik Kim, M.D.*, Chul-Hyun Park, M.D.**, Kook-Yang Park, M.D.**, Sang-Joon Oh, M.D.*

Department of Thoracic and Cardiovascular Surgery Gil Heart Center

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: 1.Tracheostomy 2. Sternotomy 3. Heart septal defect, ventricular

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Korean J Thorac Cardiovasc Surg 2001; 34(3): 246-248

Published online March 5, 2001

Copyright © Journal of Chest Surgery.

Closure of VSD in a Patient with Tracheostoma - Acasereport -

Sang-Ik Kim, M.D.*, Chul-Hyun Park, M.D.**, Kook-Yang Park, M.D.**, Sang-Joon Oh, M.D.*

Department of Thoracic and Cardiovascular Surgery Gil Heart Center

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: 1.Tracheostomy 2. Sternotomy 3. Heart septal defect, ventricular

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