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Median sternotomy

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112:, 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. 315:"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" 101: 1138: 40: 108:
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
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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).
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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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Reser, Diana; Caliskan, Etem; Tolboom, Herman; Guidotti, Andrea; Maisano, Francesco (2015).
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Tachdjian's Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children
1154: 1120: 840: 459: 74: 338:"An Evidence-Based Perspective on Movement and Activity Following Median Sternotomy" 885: 187:(Seventh ed.). Philadelphia: Lippincott Williams & Wilkins. p. 397. 1062: 805: 769: 449: 434: 109: 78: 1057: 924: 829: 597: 157: 268: 133: 165: 149: 17: 66: 313:
Bonow RO; Carabello BA; Chatterjee K; de Leon AC Jr.; Faxon DP (2006).
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Jaffe, Richard A.; Schmiesing, Clifford A.; Golianu, Brenda (2014).
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Julian OC; Lopez-Belio M; Dye WS; Javid H; Grove WJ (1957).
243:(Sixth ed.). Philadelphia: Elsevier. p. 226. 77:, after which the sternum itself is divided using a 1113: 1085: 942: 797: 693: 433: 426: 32: 214:. Lippincott Williams & Wilkins. p. 470. 27:Surgical access through vertical sternum incision 211:Anesthesiologist's Manual of Surgical Procedures 292:"Julian's reintroduction of Milton's operation" 371: 342:Physical Therapy & Rehabilitation Journal 8: 138:Multimedia Manual of Cardiothoracic Surgery 430: 413:Cardiology diagnostic tests and procedures 378: 364: 356: 179:Blum, Matthew G.; Fry, William A. (2011). 38: 509:Transcatheter pulmonary valve replacement 290:Dalton ML; Connally SR; Sealy WC (1992). 552:shunt from heart chamber to blood vessel 652:shunt from blood vessel to blood vessel 124: 29: 782:Valve-sparing aortic root replacement 521:enlargement of existing septal defect 69:procedure in which a vertical inline 7: 516:production of septal defect in heart 262: 260: 44:Skin incision of a median sternotomy 48: 613:transposition of the great vessels 538:creation of septal defect in heart 25: 913:Cardiac resynchronization therapy 1137: 1136: 920:Left atrial appendage occlusion 95:coronary artery bypass surgery 1: 1042:Radionuclide ventriculography 1161:Thoracic surgical procedures 1027:Myocardial perfusion imaging 1182: 634:for univentricular defect 1134: 974:Implantable loop recorder 618:Arterial switch operation 408:Interventional cardiology 398: 235:Herring, John A. (2020). 89:, corrective surgery for 49: 37: 1053:Coronary catheterization 543:Blalock–Hanlon procedure 504:Mitral valve replacement 487:Aortic valve replacement 185:General Thoracic Surgery 91:congenital heart defects 1049:Cardiac catheterization 991:Electrophysiology study 891:Radiofrequency ablation 856:Alcohol septal ablation 181:"25. Thoracic incision" 1095:Impedance cardiography 717:Coronary artery bypass 105: 1126:Transcutaneous pacing 930:Heart transplantation 851:Ventricular reduction 667:Blalock–Taussig shunt 103: 1100:Ballistocardiography 657:systemic circulation 150:10.1093/mmcts/mmv017 979:Cardiac stress test 957:Electrocardiography 896:Pacemaker insertion 643:Kawashima procedure 607:compound procedures 482:Aortic valve repair 455:Mitral valve repair 134:"Median sternotomy" 1166:Surgical incisions 1032:Cardiovascular MRI 962:Vectorcardiography 817:Pericardial window 812:Pericardiocentesis 753:Drug-eluting stent 582:Rastelli procedure 531:Balloon septostomy 106: 73:is made along the 1148: 1147: 1005:Angiocardiography 951:Electrophysiology 938: 937: 881:Catheter ablation 864:Conduction system 789:LeCompte maneuver 777:Bentall procedure 638:Norwood procedure 628:Senning procedure 623:Mustard procedure 526:Atrial septostomy 477:Valve replacement 319:J Am Coll Cardiol 250:978-0-323-56769-5 221:978-1-4511-7660-5 194:978-0-7817-7982-1 63:Median sternotomy 60: 59: 33:Median sternotomy 16:(Redirected from 1173: 1140: 1139: 1105:Cardiotocography 1073: 1037:Ventriculography 1010:Echocardiography 1001: 953: 869:Maze procedure ( 866: 832: 808: 761: 760:Obstacle removal 748:Bare-metal stent 744: 704: 661:pulmonary artery 653: 608: 593:pulmonary artery 566:Fontan procedure 561:pulmonary artery 553: 517: 431: 380: 373: 366: 357: 350: 349: 348:(12): 1587–1601. 333: 327: 326: 310: 304: 303: 287: 281: 280: 264: 255: 254: 232: 226: 225: 205: 199: 198: 176: 170: 169: 129: 83:heart transplant 53:edit on Wikidata 42: 30: 21: 1181: 1180: 1176: 1175: 1174: 1172: 1171: 1170: 1151: 1150: 1149: 1144: 1130: 1109: 1081: 1077:Phonocardiogram 1069: 999:Cardiac imaging 997: 949: 934: 862: 846:Septal myectomy 836:Cardiomyoplasty 828: 822:Pericardiectomy 804: 793: 759: 740: 700: 694:Cardiac vessels 689: 683:Glenn procedure 651: 606: 589:right ventricle 551: 515: 437: 422: 418:Cardiac imaging 403:Cardiac surgery 394: 384: 354: 353: 335: 334: 330: 312: 311: 307: 296:Ann Thorac Surg 289: 288: 284: 266: 265: 258: 251: 234: 233: 229: 222: 207: 206: 202: 195: 178: 177: 173: 131: 130: 126: 121: 87:lung transplant 56: 45: 28: 23: 22: 15: 12: 11: 5: 1179: 1177: 1169: 1168: 1163: 1153: 1152: 1146: 1145: 1135: 1132: 1131: 1129: 1128: 1123: 1117: 1115: 1111: 1110: 1108: 1107: 1102: 1097: 1091: 1089: 1087:Function tests 1083: 1082: 1080: 1079: 1074: 1066: 1065: 1060: 1055: 1046: 1045: 1044: 1034: 1029: 1024: 1023: 1022: 1017: 1007: 1002: 994: 993: 988: 987: 986: 984:Bruce protocol 976: 971: 969:Holter monitor 966: 965: 964: 954: 946: 944: 940: 939: 936: 935: 933: 932: 927: 922: 916: 915: 910: 904: 898: 893: 888: 883: 878: 867: 859: 858: 853: 848: 843: 838: 833: 825: 824: 819: 814: 809: 801: 799: 795: 794: 792: 791: 785: 784: 779: 773: 772: 767: 765:Endarterectomy 762: 756: 755: 750: 745: 742:Coronary stent 737: 736: 735: 734: 729: 724: 710: 705: 697: 695: 691: 690: 688: 687: 686: 685: 671: 670: 669: 654: 648: 647: 646: 645: 640: 632: 631: 630: 625: 620: 609: 603: 602: 601: 600: 586: 585: 584: 573:left ventricle 570: 569: 568: 554: 548: 547: 546: 545: 535: 534: 533: 528: 518: 512: 511: 506: 501: 500: 499: 494: 492:Ross procedure 484: 479: 474: 473: 472: 467: 457: 452: 447: 441: 439: 428: 424: 423: 421: 420: 415: 410: 405: 399: 396: 395: 390:involving the 385: 383: 382: 375: 368: 360: 352: 351: 328: 305: 282: 256: 249: 237:"9. Scoliosis" 227: 220: 200: 193: 171: 123: 122: 120: 117: 58: 57: 50: 47: 46: 43: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1178: 1167: 1164: 1162: 1159: 1158: 1156: 1143: 1133: 1127: 1124: 1122: 1121:Cardioversion 1119: 1118: 1116: 1112: 1106: 1103: 1101: 1098: 1096: 1093: 1092: 1090: 1088: 1084: 1078: 1075: 1072: 1068: 1067: 1064: 1061: 1059: 1056: 1054: 1050: 1047: 1043: 1040: 1039: 1038: 1035: 1033: 1030: 1028: 1025: 1021: 1018: 1016: 1013: 1012: 1011: 1008: 1006: 1003: 1000: 996: 995: 992: 989: 985: 982: 981: 980: 977: 975: 972: 970: 967: 963: 960: 959: 958: 955: 952: 948: 947: 945: 941: 931: 928: 926: 923: 921: 918: 917: 914: 911: 908: 905: 902: 899: 897: 894: 892: 889: 887: 884: 882: 879: 876: 872: 868: 865: 861: 860: 857: 854: 852: 849: 847: 844: 842: 841:Dor procedure 839: 837: 834: 831: 827: 826: 823: 820: 818: 815: 813: 810: 807: 803: 802: 800: 796: 790: 787: 786: 783: 780: 778: 775: 774: 771: 768: 766: 763: 758: 757: 754: 751: 749: 746: 743: 739: 738: 733: 730: 728: 725: 723: 720: 719: 718: 714: 711: 709: 706: 703: 699: 698: 696: 692: 684: 681: 680: 679: 676:to the right 675: 672: 668: 665: 664: 662: 658: 655: 650: 649: 644: 641: 639: 636: 635: 633: 629: 626: 624: 621: 619: 616: 615: 614: 610: 605: 604: 599: 596: 595: 594: 590: 587: 583: 580: 579: 578: 574: 571: 567: 564: 563: 562: 558: 555: 550: 549: 544: 541: 540: 539: 536: 532: 529: 527: 524: 523: 522: 519: 514: 513: 510: 507: 505: 502: 498: 497:Transcatheter 495: 493: 490: 489: 488: 485: 483: 480: 478: 475: 471: 468: 466: 463: 462: 461: 460:Valvuloplasty 458: 456: 453: 451: 448: 446: 443: 442: 440: 436: 432: 429: 425: 419: 416: 414: 411: 409: 406: 404: 401: 400: 397: 393: 389: 381: 376: 374: 369: 367: 362: 361: 358: 347: 343: 339: 332: 329: 324: 320: 316: 309: 306: 301: 297: 293: 286: 283: 278: 274: 270: 263: 261: 257: 252: 246: 242: 238: 231: 228: 223: 217: 213: 212: 204: 201: 196: 190: 186: 182: 175: 172: 167: 163: 159: 155: 151: 147: 143: 139: 135: 128: 125: 118: 116: 113: 111: 102: 98: 96: 92: 88: 84: 80: 76: 72: 68: 65:is a type of 64: 54: 41: 36: 31: 19: 909:implantation 903:implantation 886:Cryoablation 727:Off-pump CAB 537: 520: 445:Valve repair 435:Heart valves 345: 341: 331: 322: 318: 308: 299: 295: 285: 276: 272: 240: 230: 210: 203: 184: 174: 141: 137: 127: 114: 107: 62: 61: 1063:Cardiac PET 806:Pericardium 770:Atherectomy 708:Angioplasty 450:Valvulotomy 110:thoracotomy 79:sternal saw 1155:Categories 1058:Cardiac CT 925:Cardiotomy 830:Myocardium 598:Sano shunt 388:procedures 386:Tests and 144:: mmv017. 119:References 18:Sternotomy 438:and septa 279:: 753–61. 158:1813-9175 1142:Category 875:minimaze 871:Cox maze 325:(1–148). 302:: 532–3. 166:26188337 71:incision 67:surgical 427:Surgery 273:Surgery 75:sternum 1114:Pacing 722:MIDCAB 713:Bypass 663:shunt 557:atrium 470:mitral 465:aortic 247:  218:  191:  164:  156:  1071:sound 943:Tests 901:S-ICD 798:Other 732:TECAB 577:aorta 392:heart 93:, or 51:[ 873:and 611:for 245:ISBN 216:ISBN 189:ISBN 162:PMID 154:ISSN 142:2015 1020:TEE 1015:TTE 907:ICD 702:CHD 674:SVC 659:to 591:to 575:to 559:to 146:doi 1157:: 678:PA 346:99 344:. 340:. 323:48 321:. 317:. 300:53 298:. 294:. 277:42 275:. 271:. 259:^ 239:. 160:. 152:. 140:. 136:. 97:. 85:, 1051:/ 877:) 715:/ 379:e 372:t 365:v 253:. 224:. 197:. 168:. 148:: 55:] 20:)

Index

Sternotomy

edit on Wikidata
surgical
incision
sternum
sternal saw
heart transplant
lung transplant
congenital heart defects
coronary artery bypass surgery

thoracotomy
"Median sternotomy"
doi
10.1093/mmcts/mmv017
ISSN
1813-9175
PMID
26188337
"25. Thoracic incision"
ISBN
978-0-7817-7982-1
Anesthesiologist's Manual of Surgical Procedures
ISBN
978-1-4511-7660-5
"9. Scoliosis"
ISBN
978-0-323-56769-5

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