Less invasive cardiac operations through a median sternotomy: 100 consecutive cases Massimo Massetti, MD, Gerard Babatasi, MD, PhD, Anne Lotti, MD, Satar.

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Presentation transcript:

Less invasive cardiac operations through a median sternotomy: 100 consecutive cases Massimo Massetti, MD, Gerard Babatasi, MD, PhD, Anne Lotti, MD, Satar Bhoyroo, MD, Olivier Le Page, MD, Andre Khayat, MD The Annals of Thoracic Surgery Volume 66, Issue 3, Pages 1050-1054 (September 1998) DOI: 10.1016/S0003-4975(98)00732-2

Fig 1 Placement of the skin incision for the aortic (A) and mitral (B) procedures; a subcomplete median sternotomy is accomplished. The Annals of Thoracic Surgery 1998 66, 1050-1054DOI: (10.1016/S0003-4975(98)00732-2)

Fig 2 Aortic valve replacement: The prosthesis is sutured with a suspended continuous technique using a 2/0 monofilament. The Annals of Thoracic Surgery 1998 66, 1050-1054DOI: (10.1016/S0003-4975(98)00732-2)

Fig 3 Patient operated on for subaortic stenosis, seen on the fourth postoperative day. The Annals of Thoracic Surgery 1998 66, 1050-1054DOI: (10.1016/S0003-4975(98)00732-2)

Fig 4 The specific adapted instruments for the SCMS approach: (A) the illuminating disposable retractor, (B) the sagittal saw, and (C) the modified blades for the thoracic retractor. The Annals of Thoracic Surgery 1998 66, 1050-1054DOI: (10.1016/S0003-4975(98)00732-2)