title: Video-Assisted Thoracic Surgery After Median Sternotomy for Cardiac Surgery.
abstract: Video-assisted thoracic surgery (VATS) lobectomy has become a standard approach for early stage 1 lung cancer. However, concerns still remain regarding certain clinical situations, such as potential damage to the heart or bypass grafts when VATS is performed after median sternotomy for cardiac surgery. In this article, techniques are described to minimize risk to an internal mammary artery graft during a VATS anatomic pulmonary resection in this group of patients. The article reviews data on VATS after median sternotomy for cardiac surgery and describes techniques to prevent, treat, and mitigate problems in this group of patients. Management of intraoperative crises is also discussed.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, 8631 West Third, Suite 240E, Los Angeles, CA 90048, USA.
authors.forename: Derek
authors.initials: D
authors.lastname: Serna-Gallegos
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, 8631 West Third, Suite 240E, Los Angeles, CA 90048, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Merry
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, 8631 West Third, Suite 240E, Los Angeles, CA 90048, USA. Electronic address: mckennar@cshs.org.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: McKenna
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D056346:Sternotomy / Q000009:adverse effects*; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome
keywords: Intraoperative crisis; Mammary artery graft; VATS lobectomy complications