Because there was concern that any approach other than a median one might not afford enough space to fix an ASD of such considerable size, our patient underwent a median
sternotomy by a pediatric cardiothoracic surgeon who specialized in these repairs (in children as well as young adults).
Under general anaesthesia, a midline
sternotomy was done.
Considering the history of syncope and compression of left ventricular, we indicated surgical treatment with aneurysmectomy of LAAA through median
sternotomy and cardiopulmonary bypass.
In majority of patients pericardial fluid was drained in Operation Room under General Anaesthesia using a sub-xiphoid incision made at lower end of original median
sternotomy wound.
They use our stylus to define and edit the data of how that partial
sternotomy is going to look like once they have the patient opened up.
Finally, direct implantation of electrodes to heart surface through small mini
sternotomy and placing PPM in rectus sheath worked.
The research will see half of patients endure a conventional
sternotomy - a large, vertical cut which opens up the chest bone and allows a surgeon to repair the heart valve.
Giant recurrent intrathoracic goitre treated by clamshell thoracotomy and reverse
sternotomy.
It is important to note that this type of surgery i-e Multivessel MICAS, is being performed in very few centers of the world and most of them perform only single vessel graftings without
sternotomy (cutting the central chest bone) and use expensive equipment, including robots to do this surgery.
If required, the incision can be extended up into the neck along the anterior border of the sternocleidomastoid muscle, or downwards into the chest in the form of a median
sternotomy.
A midline incision with a median
sternotomy was used in patients with cephalad suprahepatic IVC tumor extension.
Substernal goiters can cause significant peri- and postoperative morbidity, particularly if a
sternotomy is required to enable a complete resection.
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