Three or more median sternotomies for patients with valve disease: role of computed tomography Kiyofumi Morishita, MD, PhD, Nobuyoshi Kawaharada, MD,

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Three or more median sternotomies for patients with valve disease: role of computed tomography Kiyofumi Morishita, MD, PhD, Nobuyoshi Kawaharada, MD, PhD, Jhoji Fukada, MD, PhD, Akira Yamada, MD, PhD, Tsukamoto Masaru, MD, PhD, Kenji Kuwaki, MD, PhD, Tomio Abe, MD, PhD The Annals of Thoracic Surgery Volume 75, Issue 5, Pages 1476-1480 (May 2003) DOI: 10.1016/S0003-4975(02)04821-X Copyright © 2003 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Sternotomy technique. With the partially divided sternum elevated using towel clips, the remaining posterior lamina is divided. The Annals of Thoracic Surgery 2003 75, 1476-1480DOI: (10.1016/S0003-4975(02)04821-X) Copyright © 2003 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Thoracic computed tomography revealed that the ascending aorta was adherent to the sternum. The Annals of Thoracic Surgery 2003 75, 1476-1480DOI: (10.1016/S0003-4975(02)04821-X) Copyright © 2003 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Thoracic computed tomography visualized a layer of fatty tissue between the heart and the sternum. The Annals of Thoracic Surgery 2003 75, 1476-1480DOI: (10.1016/S0003-4975(02)04821-X) Copyright © 2003 The Society of Thoracic Surgeons Terms and Conditions