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Surgical Approaches

  • Denis Berdajs
  • Marko I. Turina
Chapter
  • 3.5k Downloads

Abstract

The patient is in the supine position. The skin incision is made in the presternal region of the anterior median sulcus (Figs. 2.1 and 2.2), starting one to two finger-breadths under the suprasternal notch and extending to a point located two finger-breadths under the xiphoid process into the linea alba. The subcutaneous adipose tissue should be dissected by cauterization. The small veins on the anterior surface of the sternum, belonging to the venous drainage of the anterior jugular vein, must be coagulated (Figs. 2.3 and 2.4). Special attention must be paid to dissection of the subcutaneous adipose tissue of the suprasternal notch and of the sternocostal angle (Figs. 2.5 and 2.6).

Keywords

Latissimus Dorsi Internal Thoracic Artery Rectus Sheath Intercostal Muscle Pectoralis Major 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Denis Berdajs
    • 1
  • Marko I. Turina
    • 2
  1. 1.Department of Cardiovascular SurgeryCentre Hospitalier Universitaire Vaudois, CHUVLausanneSwitzerland
  2. 2.University Hospital ZürichZürichSwitzerland

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