1. Transmanubrial approach to the thoracic inlet
Dominique Grunenwald, MD, Lorenzo Spaggiari, MD, Philippe Girard, MD, Pierre Baldeyrou, MD 
The Journal of Thoracic and Cardiovascular Surgery 
Volume 113, Issue 5, Pages (May 1997)
DOI: /S (97)
Copyright © 1997 Mosby, Inc. Terms and Conditions

2. Fig. 1
This patient was submitted to anterior transclavicular approach. The median half of the clavicle was removed and the sternomastoid muscle divided, as was the clavicular part of the major pectoralis muscle. The shoulder deformity is evident, and this caused an important deficit and patient discomfort.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) )
Copyright © 1997 Mosby, Inc. Terms and Conditions

3. Fig. 2
Transmanubrial L-shaped incision and section of the first cartilage.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) )
Copyright © 1997 Mosby, Inc. Terms and Conditions