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Igor A Borisov
Dmitri D Savichev
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LETTER TO THE EDITOR

Median Sternotomy with Left Anterolateral Thoracotomy: An Interesting Option

Igor A Borisov, PhD, Alexandr N Bletkin, PhD, Dmitri D Savichev, MD

2nd Central Military Clinical Hospital, Department for Cardiac Surgery, 8A Bolshaya Olenya Street, Moscow, 107014, Russia

Dmitri D Savichev, MD Phone: +7 499 7854993 Fax: +7 499 7854793 Email: 7332326@mail.ru, 2nd Central Military Clinical Hospital, 8A Bolshaya Olenya Street, Moscow, 107014, Russia.

The first 20% of the full text of this article appears below.

With the great interest we have read the excellent paper by Yamashiro et al.1 The authors describe good alternative method to widespread bilateral anterior thoracotomy through the fourth intercostal space with transverse sternotomy.2

We suppose that presented approach may be less traumatic than standard bilateral method and it could be the excellent exposure for any other manipulations on the entire thoracic aorta with any concomitant cardiac procedure. Previously the authors had reported similar aortic approach in 1 patient with intraoperative retrograde aortic dissection: initially, the thoracotomy via fourth intercostal space was performed, and after acute intraoperative retrograde aortic dissection the approach was expanded by median sternotomy3. Described aortic approach could be performed as independent maneuver in elective repair or additionally to thoracotomy in emergency . . . [Full Text of this Article]

Asian Cardiovasc Thorac Ann 2010; 18:92-93
© 2010 by SAGE Publications
DOI: 10.1177/0218492309353949




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