Video-Assisted Thoracic Surgery After Median Sternotomy for Cardiac Surgery.

Abstract:

:Video-assisted thoracic surgery (VATS) lobectomy has become a standard approach for early stage 1 lung cancer. However, concerns still remain regarding certain clinical situations, such as potential damage to the heart or bypass grafts when VATS is performed after median sternotomy for cardiac surgery. In this article, techniques are described to minimize risk to an internal mammary artery graft during a VATS anatomic pulmonary resection in this group of patients. The article reviews data on VATS after median sternotomy for cardiac surgery and describes techniques to prevent, treat, and mitigate problems in this group of patients. Management of intraoperative crises is also discussed.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Serna-Gallegos D,Merry H,McKenna RJ Jr

doi

10.1016/j.thorsurg.2015.04.004

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

349-54

issue

3

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(15)00023-7

journal_volume

25

pub_type

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