Deep sternal infection following use of median sternotomy is reported as occurring in 2% of patients. Some sternal breakdown is associated with wires cutting through the sternum. In an attempt to avoid this, we employed broad, strong tapes for sternal closure to determine the efficacy of this ...
What is a Sternotomy? The sternotomy is a surgical procedure that often precedes heart surgery, and gives direct access to the heart. It is an incision in the chest that begins at the top of thesternum, which is the bone right below the neck’s hollow, and that runs down the middle ...
Retrosternal goiter (RG) is defined as an enlarged thyroid gland extending downwards, with over 50% below the sternal notch, or the lower pole is greater than 3 cm below the suprasternal notch [1]. It can cause displacement and narrowing of great vessels and trachea in the neck, leading ...
Thoracotomy and median sternotomy have both been advocated for resection of pulmonary metastases, and the advantages of each approach remain disputed. Patients with adult soft-tissue sarcomas undergoing resection of pulmonary metastases at the National Cancer Institute were studied retrospectively to assess...
In all cases anatomic reentrant circuits confined within the left atrium were eliminated by placing contiguous lesion lines involving the mitral anulus and the orifices of the pulmonary veins through the use of radiofrequency energy application (exposure time, 20 seconds). A median sternotomy was ...
median sternotomy, to gain access into the patient's thoracic cavity. A saw or other cutting instrument is used to cut the sternum longitudinally, allowing the two opposing halves of the anterior or ventral portion of the rib cage to be spread apart. A large opening into the thoracic cavity...
It has previously been reported that the Ley prosthesis, a 0.5-mm-thick titanium alloy plate designed for reconstruction and stabilization of the unstable sternotomy, leads to shorter hospital stay and reduces the need for further surgical procedures in patients with postoperative mediastinitis after op...
Congenital heart disease (CHD) is the most common birth defect, and up to 50% of infants with CHD require cardiovascular surgery early in life. Current clinical practice often involves thymus resection during cardiac surgery, detrimentally affecting T-cell immunity. However, epidemiological data indic...
Because thrombus carries a risk of critical embolization, we performed emergency open heart surgery via a median sternotomy and found a considerable amount of pericardial effusion and fragile change due to MI in the anterior wall of the LV. Cold blood cardioplegia was delivered in an antegrade ...
Briefly, the body temperature of each mouse was kept stable using a temperature regulation pad. After midline sternotomy, a Prolene 6.0 suture was placed around the aorta between the branching of the brachiocephalic artery and the left carotid artery. A blunt 27-gauge needle was positioned along...