Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Sternotomy”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 847 records · Page 47Linked to original sources
PubMed2000

Total Coronary Artery Revascularization Through a Mini-Sternotomy.

Revascularization of all significantly stenosed vessels remains the goal of coronary artery bypass surgery. Recent improvements in endoscopic instruments have resulted in the evolution of selective left anterior descending artery bypass grafting through a limited anterior small thoracotomy (LAST) incision. A major limitation of this technique is the inaccessibility for complete surgical revascularization in multivessel disease. In this article, we describe a minimally invasive technique for total coronary artery revascularization that combines conventional surgical techniques with the advantages of minimally invasive surgery. We have performed total coronary revascularization in 52 patients over a period of 16 months with consistently good results.

Journal Article↗
PubMed2002

A cosmetic access for minimally invasive aortic valve replacement without sternotomy in women.

BACKGROUND: Different methods of replacing the aortic valve via a minimally invasive access have been reported in the recent literature. Although these strategies have clear advantages in terms of reduced surgical trauma, no further refinements in terms of cosmetic results have been made for women. METHODS: Aortic valve replacement was performed in 4 women via a right anterior submammary minithoracotomy without rib resection. The incision was made along the breast fold. The extracorporeal circulation was connected through the same access. Standard surgical technique and equipment were employed. RESULTS: No intraoperative complications or hospital deaths occurred. The 4 patients could be discharged home on the sixth postoperative day. The cosmetic result was excellent and the wound completely disappeared within the breast fold. CONCLUSIONS: The advantages of the present method include the preservation of sternal integrity, early mobilization and rehabilitation and an excellent cosmetic result for women.

Adult↗
PubMed2003

Post-sternotomy internal mammary arteriovenous fistula.

Arteriovenous fistula from the mammary artery is a rare complication following cardiac surgery. The fistula usually develops within the first 2 weeks after surgery and is initially asymptomatic. Typically, a continuous machinery murmur is heard along the parasternal border of the chest wall. A patient with an arteriovenous fistula between the right internal mammary artery and mammary vein following a combined aortic valve and coronary bypass operation is described. A transthoracic colour Doppler scan led to the diagnosis of the fistula. Because of potential late complications endovascular embolisation of the fistula was successfully performed.

Aged↗
PubMed2003

Combined off-pump coronary artery by-pass and right upper lobectomy for lung cancer through median sternotomy.

Patients who smoke are at risk of both coronary artery disease and lung cancer, but concomitant lesions of the heart and lung are uncommon. Management of these concomitant lesions is controversial because of the systemic side-effects of a cardiopulmonary by-pass (CPB) and the difficult approach of the lung. An off-pump coronary artery by-pass (OPCAB) can be a successful procedure in the combined treatment of lung cancer and cardiac disease. This study reports on a successful one-stage OPCAB grafting procedure with right upper lobe lobectomy for a primary lung cancer.

Aged↗
PubMed1984

Transverse sternotomy for concomitant cardiac and pulmonary surgery.

We describe a simplified surgical procedure whereby pulmonary or other intrathoracic operations can be safely and easily performed in conjunction with cardiopulmonary bypass for indicated cardiac procedures. Transsternal bilateral anterior thoracotomy can provide excellent exposure in cases requiring concomitant attention to cardiac and pulmonary pathology.

Journal Article↗
PubMed2006

[Off-pump coronary artery bypass via median sternotomy].

Off-pump coronary artery bypass grafting (off-pump CABG: OPCAB) is a useful technique of coronary revascularization in terms of reduction of operative mortality and morbidity. Because the biggest advantage of OPCAB may be that it can prevent perioperative stroke, we selected patients for OPCAB based on the preoperative evaluation of neck and intracranial vessels. We could totally eliminate intraoperative stroke in patients undergoing OPCAB, although some patients with a severe neck vessel disease developed postoperative stroke/transient ischemic attack in an early postoperative period (the 4th approximately 8th postoperative day) mostly due to thrombosis from the diseased vessel. Therefore, high-risk patients with a severe neck vessel disease should be treated with a more aggressive anticoagulation protocol postoperatively. As for the quality of grafting, the number of graft, the rate of complete revascularization, and early graft patency were comparable between OPCAB and CABG with a cardiopulmonary bypass. The long-term results in terms of freedom from cardiac death and cardiac events were also comparable. We conclude that we could achieve less invasiveness in coronary revascularization by using an OPCAB technique without compromising the quality of grafting.

Aged↗
PubMed1991

[Revision of midline sternotomies after cardiac surgery in 1988: retrospective study].

Twenty-three of 514 (4.6%) patients who underwent cardiac surgery in 1988 with cardiopulmonary bypass were later reoperated for sternal complications. Several risk factors, including pre-, intra and postoperative variables, have been investigated. A significant correlation was found with the presence of diabetes mellitus, the type of operation (bilateral internal mammary artery grafting), early reoperations, haemodynamic alterations, pulmonary infections and incidence of serious non infectious complications. The different sternal complications are analyzed from a clinical and therapeutic point of view.

Aged↗