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• A case of anesthesia with tracheotomy and on-pump coronary artery bypass grafting in a one-stage for a patient with subglottic stenosis

  Ginoza Itaru, Watanabe Yohei, Izumi Syunsuke, Noguchi Nobuhiro, Teruya Koji, Kakinohana Manabu

  Cardiovascular Anesthesia ( Japanese Society of Cardiovascular Anesthesiologists )  24 ( 1 ) 79 - 83   2020 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

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  <p> A 38-year-old woman was scheduled an on-pump coronary artery bypass grafting (ONCAB) for unstable angina pectoris with 3 coronary artery lesions. After induction of anesthesia, we found that intubation was difficult because of subglottic stenosis. The risk of perioperative respiratory complications was high without a properly maintained airway, and the operation was postponed. An approach that would ensure a properly maintained airway was deemed necessary, and therefore a one-stage ONCAB with superior tracheostomy and partial median lower sternotomy was performed at a later date. The patient recovered without any complication.</p>

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