title: Lung exposure during simultaneous myocardial revascularization and lung surgery through median sternotomy.
abstract: Coronary artery disease is a frequent comorbidity in patients undergoing major thoracic surgery. Simultaneous operations eliminate the necessity of a second operation and, more importantly, minimize the delay in compulsory postoperative oncological therapy. We describe a relaxing incision in the contralateral pericardium, which allows for simple displacement of the heart. This maneuver improves exposure of the pulmonary hilum and middle mediastinum on the side of resection.
authors.affiliation: Department of Cardiac Surgery, Medical University of Gdansk, Poland.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Jagielak
authors.affiliation: Department of Cardiac Surgery, Medical University of Gdansk, Poland.
authors.forename: Radoslaw
authors.initials: R
authors.lastname: Kozaryn
authors.affiliation: Department of Cardiac Surgery, Medical University of Gdansk, Poland.
authors.forename: Rafal
authors.initials: R
authors.lastname: Pawlaczyk
authors.affiliation: Department of Cardiac Surgery, Medical University of Gdansk, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Siondalski
authors.affiliation: Department of Thoracic Surgery, Medical University of Gdansk, Poland.
authors.forename: Witold
authors.initials: W
authors.lastname: Rzyman
authors.affiliation: Department of Cardiac Surgery, Medical University of Gdansk, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Rogowski
keywords: lung cancer; median sternotomy; off-pump surgery