101:, which was a very complication-prone and painful approach. In 1957, after the demonstration of the superiority of median sternotomy, it became the standard incision and has remained so until today. Through this approach, the surgeon can see the entire heart and control the whole operative field visually and tactically. Cardiac surgery through sternotomy is safe and efficient, and is considered to be the gold standard for surgical treatment of all congenital and acquired heart diseases resulting in low failure rates and excellent proven long-term outcomes.
304:"ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons"
90:
1127:
29:
97:
The median sternotomy was first proposed by
Herbert M. N. Milton in 1897. Since the first successful open heart operation in 1953, most cardiac surgeons initially used the bilateral anterior
325:
El-Ansary, Doa; Kinney LaPier, Tanya; Adams, Jenny; Gach, Richard; Triano, Susan; Ali
Katijjahbe, Md; Hirshhorn, Andrew D; Mungovan, Sean F; Lotshaw, Ana; Cahalin, Lawrence P (2019).
366:
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258:"The median sternal incision in intracardiac surgery with extracorporeal circulation: a general evaluation of its use in heart surgery"
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Cardiac surgery via median sternotomy is performed in over 1 million patients per year worldwide.
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Example of a median sternotomy on a young adult male, around 72 hours following the procedure
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121:
Reser, Diana; Caliskan, Etem; Tolboom, Herman; Guidotti, Andrea; Maisano, Francesco (2015).
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70:. This procedure provides access to the heart and lungs for surgical procedures such as
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172:. In Shields, Thomas W.; LoCicero, Joseph; Reed, Carolyn E.; Feins, Richard H. (eds.).
230:
Tachdjian's
Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children
1143:
1109:
829:
448:
63:
327:"An Evidence-Based Perspective on Movement and Activity Following Median Sternotomy"
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176:(Seventh ed.). Philadelphia: Lippincott Williams & Wilkins. p. 397.
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Bonow RO; Carabello BA; Chatterjee K; de Leon AC Jr.; Faxon DP (2006).
41:
710:
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Jaffe, Richard A.; Schmiesing, Clifford A.; Golianu, Brenda (2014).
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88:
348:
256:
Julian OC; Lopez-Belio M; Dye WS; Javid H; Grove WJ (1957).
232:(Sixth ed.). Philadelphia: Elsevier. p. 226.
66:, after which the sternum itself is divided using a
1102:
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682:
422:
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21:
203:. Lippincott Williams & Wilkins. p. 470.
16:Surgical access through vertical sternum incision
200:Anesthesiologist's Manual of Surgical Procedures
281:"Julian's reintroduction of Milton's operation"
360:
331:Physical Therapy & Rehabilitation Journal
8:
127:Multimedia Manual of Cardiothoracic Surgery
419:
402:Cardiology diagnostic tests and procedures
367:
353:
345:
168:Blum, Matthew G.; Fry, William A. (2011).
27:
498:Transcatheter pulmonary valve replacement
279:Dalton ML; Connally SR; Sealy WC (1992).
541:shunt from heart chamber to blood vessel
641:shunt from blood vessel to blood vessel
113:
18:
771:Valve-sparing aortic root replacement
510:enlargement of existing septal defect
58:procedure in which a vertical inline
7:
505:production of septal defect in heart
251:
249:
33:Skin incision of a median sternotomy
37:
602:transposition of the great vessels
527:creation of septal defect in heart
14:
902:Cardiac resynchronization therapy
1126:
1125:
909:Left atrial appendage occlusion
84:coronary artery bypass surgery
1:
1031:Radionuclide ventriculography
1150:Thoracic surgical procedures
1016:Myocardial perfusion imaging
1171:
623:for univentricular defect
1123:
963:Implantable loop recorder
607:Arterial switch operation
397:Interventional cardiology
387:
224:Herring, John A. (2020).
78:, corrective surgery for
38:
26:
1042:Coronary catheterization
532:Blalock–Hanlon procedure
493:Mitral valve replacement
476:Aortic valve replacement
174:General Thoracic Surgery
80:congenital heart defects
1038:Cardiac catheterization
980:Electrophysiology study
880:Radiofrequency ablation
845:Alcohol septal ablation
170:"25. Thoracic incision"
1084:Impedance cardiography
706:Coronary artery bypass
94:
1115:Transcutaneous pacing
919:Heart transplantation
840:Ventricular reduction
656:Blalock–Taussig shunt
92:
1089:Ballistocardiography
646:systemic circulation
139:10.1093/mmcts/mmv017
968:Cardiac stress test
946:Electrocardiography
885:Pacemaker insertion
632:Kawashima procedure
596:compound procedures
471:Aortic valve repair
444:Mitral valve repair
123:"Median sternotomy"
1155:Surgical incisions
1021:Cardiovascular MRI
951:Vectorcardiography
806:Pericardial window
801:Pericardiocentesis
742:Drug-eluting stent
571:Rastelli procedure
520:Balloon septostomy
95:
62:is made along the
1137:
1136:
994:Angiocardiography
940:Electrophysiology
927:
926:
870:Catheter ablation
853:Conduction system
778:LeCompte maneuver
766:Bentall procedure
627:Norwood procedure
617:Senning procedure
612:Mustard procedure
515:Atrial septostomy
466:Valve replacement
308:J Am Coll Cardiol
239:978-0-323-56769-5
210:978-1-4511-7660-5
183:978-0-7817-7982-1
52:Median sternotomy
49:
48:
22:Median sternotomy
1162:
1129:
1128:
1094:Cardiotocography
1062:
1026:Ventriculography
999:Echocardiography
990:
942:
858:Maze procedure (
855:
821:
797:
750:
749:Obstacle removal
737:Bare-metal stent
733:
693:
650:pulmonary artery
642:
597:
582:pulmonary artery
555:Fontan procedure
550:pulmonary artery
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339:
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337:(12): 1587–1601.
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72:heart transplant
42:edit on Wikidata
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1066:Phonocardiogram
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988:Cardiac imaging
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851:
835:Septal myectomy
825:Cardiomyoplasty
817:
811:Pericardiectomy
793:
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748:
729:
689:
683:Cardiac vessels
678:
672:Glenn procedure
640:
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578:right ventricle
540:
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407:Cardiac imaging
392:Cardiac surgery
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285:Ann Thorac Surg
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1076:Function tests
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226:"9. Scoliosis"
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1110:Cardioversion
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665:to the right
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449:Valvuloplasty
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54:is a type of
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30:
25:
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898:implantation
892:implantation
875:Cryoablation
716:Off-pump CAB
526:
509:
434:Valve repair
424:Heart valves
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96:
51:
50:
1052:Cardiac PET
795:Pericardium
759:Atherectomy
697:Angioplasty
439:Valvulotomy
99:thoracotomy
68:sternal saw
1144:Categories
1047:Cardiac CT
914:Cardiotomy
819:Myocardium
587:Sano shunt
377:procedures
375:Tests and
133:: mmv017.
108:References
427:and septa
268:: 753–61.
147:1813-9175
1131:Category
864:minimaze
860:Cox maze
314:(1–148).
291:: 532–3.
155:26188337
60:incision
56:surgical
416:Surgery
262:Surgery
64:sternum
1103:Pacing
711:MIDCAB
702:Bypass
652:shunt
546:atrium
459:mitral
454:aortic
236:
207:
180:
153:
145:
1060:sound
932:Tests
890:S-ICD
787:Other
721:TECAB
566:aorta
381:heart
82:, or
40:[
862:and
600:for
234:ISBN
205:ISBN
178:ISBN
151:PMID
143:ISSN
131:2015
1009:TEE
1004:TTE
896:ICD
691:CHD
663:SVC
648:to
580:to
564:to
548:to
135:doi
1146::
667:PA
335:99
333:.
329:.
312:48
310:.
306:.
289:53
287:.
283:.
266:42
264:.
260:.
248:^
228:.
149:.
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125:.
86:.
74:,
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866:)
704:/
368:e
361:t
354:v
242:.
213:.
186:.
157:.
137::
44:]
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
