1. Effective Median Sternotomy Closure in High-Risk Open Heart Patients
Eugene L. Bek, MD, Kwok L. Yun, MD, Gary S. Kochamba, MD, Thomas A. Pfeffer, MD 
The Annals of Thoracic Surgery 
Volume 89, Issue 4, Pages (April 2010)
DOI: /j.athoracsur
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
Schematic diagram depicts conventional sternal closure method. Blue lines represent placement of sternal wires.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Schematic diagram depicts the transcostal sternal closure method. Blue lines represent placement of sternal wires.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
Intraoperative photograph shows transcostal sternal closure in an elderly morbidly obese patient.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions