No abstract available.
Sternotomy*

No abstract available.
Sternotomy*

No abstract available.
Brachial Plexus ; Sternotomy

Upper thoracic vertebral bodies are difficult to access using standard anterior approaches. It may require sternotomy and claviculectomy, which carries significant possibility of morbidities. We report a case of inferiorly migrated cervicothoracic junction disc treated successfully by anterior upper-vertebral transcorporeal approach. This specific technique obviated the need of sternotomy, created favorable working space and saved the motion segment at cervicothoracic junction. This report is the first transcorporeal approach to a disc fragment at T1-2 space without fusion.
Intervertebral Disc ; Sternotomy

In general, cardiac surgery has been performed via median sternotomy. During the past decade, improvement in endoscopic equipments and operative techniques have resulted in development of the minimally invasive cardiac operation using small incisions. Today minimally invasive mitral valve surgery has become standard practice for many surgeons and robotic systems are gaining wider adoption.
Mitral Valve* ; Sternotomy ; Thoracic Surgery

In general, cardiac surgery has been performed via median sternotomy. During the past decade, improvement in endoscopic equipments and operative techniques have resulted in development of the minimally invasive cardiac operation using small incisions. Today minimally invasive mitral valve surgery has become standard practice for many surgeons and robotic systems are gaining wider adoption.
Mitral Valve* ; Sternotomy ; Thoracic Surgery

In heart surgery or surgery for mediastinal mass, median sternotomy is the most common surgical approach. Thefrequency of complications after sternotomy is very low (0.5%-5%), but once a complication develops, the high riskinvolved results in high mortality; early detection and treatment are thus essential. In determining the presenceand extent of complications after sternotomy, chest radiography and clinical findings are of limited usefulness,though for detecting the existence of complications and evaluating the extent of lesions, CT is very useful. Weillustrate the clinical characteristics and CT findings of complications after median sternotomy.
Mortality ; Radiography ; Sternotomy* ; Thoracic Surgery ; Thorax

True primary mediastinal ectopic goiters are quite rare, and they occur in less than 1% of all goiters. We report here on a case in which a primary mediastinal ectopic goiter was accompanied with papillary microcarcinoma of the cervical thyroid. The mediastinal ectopic goiter was not connected to the cervical thyroid and its blood was supplied from intrathoracic vessels, which necessitated a thoracotomy or sternotomy for removal rather than a standard cervical collar incision. We performed total thyroidectomy for the papillary microcarcinoma of the cervical thyroid gland and transsternal removal for the mediastinal goiter; this resulted in a favorable outcome.
Goiter* ; Sternotomy ; Thoracotomy ; Thyroid Gland* ; Thyroidectomy

Since it's introduction by Hattersley in 1966, the acivated coagulation time(ACT) is widely used as a indicator of coagulation status of a patient during cardiac surgery. There have been many studies about the pre-heparin and post-heparin(post-protamine) ACT's, but the results vary. Comparisons of baseline ACT to postprotamine ACT revealed that there were studies which showed postprotamine ACT significantly above baseline ACT, while others were opposite. So we checked baseline ACT at three different point of time: 1) before anesthetic induction; 2) after anesthetic induction; 3) after sternotomy. We also checked postheparin and postprotamine ACT, and compared it with baseline ACTs. The postprotamine ACT showed significant increase compared with the preinduction and postinduction ACT and no significant differences between preheparin ACTs. We think that hemodilution and hypothermia might have influenced on the postprotamine ACT. It seems that baseline ACT can be measured anytime before the injection of heparin. But there are many factors which can influence the measurement of the ACT. Therefore, cares must be taken in the interpretating the result of ACT, considering the factors of ACT variability and clinical observations of blood coagulability.
Hemodilution ; Heparin ; Humans ; Hypothermia ; Sternotomy ; Thoracic Surgery*

Despite significant advances in neurosurgical and neuroanesthetic techniques, certain lesions such as giant aneurysms still present significant challenge to neurosurgoens. The authors experienced a case of giant MCA bifurcation aneurysm surgery using a technique of deep hypothermia and circulatory arrest with excellent outcome. Cannulation for cardiopulmonary bypass can be done either centrally through a sternotomy(aortic-right atrial), or peripherally through a small inguinal incision(femoral-femoral). In our case, femoral-femoral cannulation was done which can eliminate many serious complications following the sternotomy. The rationale for the application of the deep hypothermia and circulatory arrest in the complex intaracranial aneurysm surgery and the benefits of the femoral cannulation are disccused.
Aneurysm* ; Cardiopulmonary Bypass ; Catheterization ; Hypothermia* ; Sternotomy