Endoscopic release of the sternum in reoperative cardiac surgery.
Reoperation for progressive coronary artery disease, graft closure, or valvular disease carries a higher risk to the patient. Sternal reentry is a formidable obstacle to the cardiac surgeon as a result of mediastinal scarring and adherence of vital structures to the sternum. We present our technique with endoscopic release of the sternum as an alternate, safe method of sternal reentry.
Division of Cardiothoracic Surgery, Mount Sinai Medical Center and Jackson Memorial Medical Center/Miller, University of Miami School of Medicine, Miami Beach, FL 33140, USA.
Gabriele
G
Di Luozzo
John
J
Schor
Ernest
E
Traad
Donald
D
Williams
Roger
R
Carrillo
D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D012086:Reoperation / Q000379:methods; D013249:Sternum / Q000601:surgery*; D013906:Thoracoscopy; D016896:Treatment Outcome