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Thoracoscopic Thymectomy in a Previous Sternotomy

Department of Thoracic Surgery
¹ Department of Cardiovascular and Thoracic Surgery, National Cancer Center and Singapore General Hospital, Singapore

For reprint information contact: Soumil J Vyas, FRCS Tel: 91 22 2415 0581 Fax: 91 22 2410 2577 Email: soumil_v{at}yahoo.com, 161/162, Riddhi Apartments, 7th floor, 57, North Sewree Wadala Scheme, Road no 10, Wadala, Mumbai 400 031, India.

A video assisted thoracoscopic surgery (VATS) thymectomy is a viable alternative to conventional open thymectomy in myasthenia gravis (MG). A previous operation in the same anatomical region is generally considered a relative contraindication to any minimally invasive approach in the same area. Few cases of VATS on previously operated chests have been reported. We report a case of a VATS thymectomy in a patient who had undergone two previous sternotomies for cardiac disease.