Median sternotomy

Median sternotomy

Median sternotomy is a type of surgical procedure in which a vertical inline incision is made along the sternum, after which the sternum itself is divided, or "cracked". This procedure provides access to the heart and lungs for surgical procedures such as heart transplant, corrective surgery for congenital heart defects (CHDs), or coronary artery bypass surgery.

Median sternotomy is often mistakenly referred to as open heart surgery; however, open heart involves incision of the pericardium, and many median sternotomy procedures do not require this. Open heart usually involves the use of a cardiopulmonary bypass, also known as a heart-lung machine.

Should this procedure be performed upon an individual more than once, each subsequent sternotomy may be referred to as a "resternotomy".

See also

External links


v · d · eHealthcare science – Medicine · Surgery · Cardiac procedures (ICD-9-CM V3 35-37+89.4+99.6, ICD-10-PCS 02)
Surgery and IC
Heart valves
and septa

Valve repair · Valvulotomy · Mitral valve repair · Valvuloplasty (aortic, mitral) Valve replacement - Aortic valve replacement (Ross procedure, Percutaneous aortic valve replacement) · Mitral valve replacement

production of septal defect in heart: enlargement of existing septal defect (Atrial septostomy, Balloon septostomy) · creation of septal defect in heart (Blalock-Hanlon procedure)

shunt from heart chamber to blood vessel: atrium to pulmonary artery (Fontan procedure) · left ventricle to aorta (Rastelli procedure) · right ventricle to pulmonary artery (Sano shunt)

compound procedures: for transposition of great vessels (Jatene procedure, Mustard procedure) · for univentricular defect (Norwood procedure, Kawashima procedure)

shunt from blood vessel to blood vessel: systemic circulation to pulmonary artery shunt (Blalock-Taussig shunt) · SVC to the right PA (Glenn procedure)
Cardiac vessels
Other
Diagnostic
tests and
procedures

Electrophysiology: Electrocardiography (Vectorcardiography) · Holter monitor · Cardiac stress test (Bruce protocol) · Electrophysiology study

Cardiac imaging: Angiocardiography · Echocardiography (TTE, TEE) · Myocardial perfusion imaging · Cardiovascular MRI · Ventriculography (Radionuclide ventriculography) · Cardiac catheterization/Coronary catheterization · Cardiac CT · Cardiac PET

sound: Phonocardiogram
Function tests
Pacing

M: HRT

anat/phys/devp

noco/cong/tumr, sysi/epon, injr

proc, drug (C1A/1B/1C/1D), blte

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