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Partial sternotomy (“C” incision) as standard access for full range of adult cardiac operations

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Abstract

Objective: In our institute, partial sternotomy has been adopted for standard access in the full range of adult cardiac operations, including coronary artery bypass grafting. In this study, our clinical experience is reviewed.Methods: Since April 1998, of 100 cardiac surgical patients, 64 underwent partial sternotomy, while 36 patients had the traditional full sternotomy because of high surgical risk factors or anatomical reasons. Most of the patients having minimal access had a “C” incision, that is, a left lower partial sternotomy.Results: The procedures performed with the “C” incision were coronary artery bypass grafting, valve surgery, aortic root replacement, closure of atrial septal defect, and so on. There were two hospital deaths after partial sternotomy. Compared with full sternotomy patients, partial sternotomy patients had a shorter hospital stay, while their bypass times were longer. Their skin incisions were 11.7 cm on average.Conclusion: The “C” incision can provide satisfying results and can serve as the standard approach in the full range of cardiac operations.

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References

  1. 1.

    Cosgrove DM III, Sabik JF. Minimally invasive approach for aortic valve operations. Ann Thorac Surg 1996; 62: 596–7.

  2. 2.

    Navia JL, Cosgrove DM III. Minimally invasive mitral valve operations. Ann Thorac Surg 1996; 62: 1542–4.

  3. 3.

    Chitwood WR, Elbeery JR, Moran JF, and The Minimally Invasive Surgery Workgroup. Minimally invasive mitral valve repair using transthoracic aortic occlusion. Ann Thorac Surg 1997; 63: 1477–9.

  4. 4.

    Minale C, Reifschneider HJ, Schmitz E, Uckmann FP. Single access for minimally invasive aortic valve replacement. Ann Thorac Surg 1996; 64: 120–3.

  5. 5.

    Loulmet DF, Carpentier A, Cho PW, Berrebi A, d’Attellis N, Austin CB, et al. Less invasive techniques for mitral valve surgery. J Thorac Cardiovasc Surg 1998; 115: 772–9.

  6. 6.

    Svensson LG, D’Agostino RS. Minimal-access aortic and valvular operations, including the “J/j” incision. Ann Thorac Surg 1998; 66: 431–5.

  7. 7.

    Doty DB, DiRusso GB, Doty JR. Full-spectrum cardiac surgery through a minimal incision: mini-sternotomy (lower half) technique. Ann Thorac Surg 1998; 65: 573–7.

  8. 8.

    Gundry SR, Shattuck OH, Razzouk AJ, del Rio MJ, Sardari FF, Bailey LL. Facile minimally invasive cardiac surgery via ministernotomy. Ann Thorac Surg 1998; 65: 1100–4.

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Correspondence to Makoto Takeda.

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Takeda, M., Konishi, T., Fukata, M. et al. Partial sternotomy (“C” incision) as standard access for full range of adult cardiac operations. Jpn J Thorac Caridovasc Surg 48, 637–642 (2000). https://doi.org/10.1007/BF03218219

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Key words

  • minimally invasive cardiac surgery
  • partial sternotomy
  • valve surgery
  • coronary artery bypass grafting
  • minimal incision