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
336:
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).
377:
236:
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269:"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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104:
Example of a median sternotomy on a young adult male, around 72 hours following the procedure
1104:
1009:
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592:
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560:
145:
132:
Reser, Diana; Caliskan, Etem; Tolboom, Herman; Guidotti, Andrea; Maisano, Francesco (2015).
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81:. This procedure provides access to the heart and lungs for surgical procedures such as
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556:
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183:. In Shields, Thomas W.; LoCicero, Joseph; Reed, Carolyn E.; Feins, Richard H. (eds.).
241:
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.
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109:
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Bonow RO; Carabello BA; Chatterjee K; de Leon AC Jr.; Faxon DP (2006).
52:
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208:
Jaffe, Richard A.; Schmiesing, Clifford A.; Golianu, Brenda (2014).
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900:
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576:
391:
99:
359:
267:
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:
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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:
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366:
357:
350:
349:
348:(12): 1587–1601.
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83:heart transplant
53:edit on Wikidata
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1077:Phonocardiogram
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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:
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418:Cardiac imaging
403:Cardiac surgery
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384:
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296:Ann Thorac Surg
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87:lung transplant
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45:
28:
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15:
12:
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5:
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1087:Function tests
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984:Bruce protocol
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969:Holter monitor
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765:Endarterectomy
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742:Coronary stent
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573:left ventricle
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492:Ross procedure
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390:involving the
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237:"9. Scoliosis"
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1121:Cardioversion
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841:Dor procedure
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676:to the right
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497:Transcatheter
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471:
468:
466:
463:
462:
461:
460:Valvuloplasty
458:
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451:
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446:
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442:
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436:
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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:
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285:
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272:
240:
230:
210:
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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:)
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