Fd. Rubens et al., Sternothoracotomy for combined coronary artery bypass grafting and left upper lobectomy in a patient with low-lying tracheostoma, CAN J SURG, 42(2), 1999, pp. 143-144
A 64-year-old man had a low-lying tracheostoma and presented with unstable
angina and a mass in the pulmonary left upper lobe, Simultaneous coronary r
evascularization and resection of the lung neoplasm were completed through
a sternothoracotomy (clam-shell) incision, The advantages of this approach
in elude excellent exposure to the mediastinum and the lung fields, and the
option of using both internal thoracic arteries for bypass grafting.