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Single-Stage Open Repair of Extensive Arch and Descending Thoracic Aneurysm through Sternotomy: A Case Report

Kim JY, Kim HR, Kim JB

Extensive thoracic aortic disease involving the ascending aorta, the aortic arch, and the descending thoracic aorta may require multiple surgical and interventional managements, which impose a burden in terms of...
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Median Sternotomy for the Management of Life-Threatening Bleeding Resulting from Proximal Upper Extremity Amputation

Kang H, Seo GB, Kim SW

It is extremely difficult to achieve hemostasis in the case of proximal amputation of major limbs, and especially in the case of a proximal upper arm amputation, which is adjacent...
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Utility of FDG-PET/CT for the Detection and Characterization of Sternal Wound Infection Following Sternotomy

Hariri H, Tan S, Martineau , Lamarche Y, Carrier M, Finnerty V, Authier S, Harel F, Pelletier-Galarneau M

PURPOSE: FDG-PET/CT has the potential to play an important role in the diagnosis of sternal wound infections (SWI). The purpose of this study was to analyze the diagnostic accuracy of...
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Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery

Schiraldi , Jabbour G, Centofanti P, Giordano S, Abdelnour , Gonzalez M, Raffoul W, di Summa P

Median sternotomy is the most popular approach in cardiac surgery. Post-sternotomy wound complications are rare, but the occurrence of a deep sternal wound infection (DSWI) is a catastrophic event associated...
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Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm

Namkoong M, Hong SB, Kim HW, Jo KH, Kim JY

Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis...
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Pain alleviation in patients undergoing cardiac surgery; presternal local anesthetic and magnesium infiltration versus conventional intravenous analgesia: a randomized double-blind study

Kamel EZ, Abd-Elshafy SK, Sayed JA, Mostafa MM, Seddik MI

BACKGROUND: Magnesium is one of the effective, safe local anesthetic adjuvants that can exert an analgesic effect in conditions presenting acute and chronic post-sternotomy pain. We studied the efficacy of...
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Anterior Mediastinal Goiter Removed via Median Sternotomy: Short Communication and Literature Review

Suh YJ, Kim LS

The majority of substernal goiters can be retrieved through the neck. However, sternotomy is indicated in roughly 1% to 8% of cases. Herein, we report a case of huge anterior...
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Temporary Closure for Sternotomy in Patient with Massive Transfusion Might Be Lethal

Kim M, Kim J, Kim SJ, Cho HJ

A 58-year-old male visited our emergency room for multiple traumas from explosion. On initial evaluation, hemopneumoperitoneum with liver laceration (grade 4) and colon perforation was identified. Hemopericardium with cardiac tamponade...
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Single Stage Repair for Aortic Coarctation associated with Intracardiac Defects Using Extra-Anatomic Bypass Graft in Adults

Duvan I, Ates MS, Onuk BE, Bakkaloglu B, Sungur UP, Kurtoglu M, Karagoz YH

BACKGROUND AND OBJECTIVES: Coarctation of the aorta in adulthood is generally associated with other cardiovascular disorders requiring surgical management. An extra anatomic bypass grafting from the ascending to descending aorta...
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Minimally Invasive Cardiac Surgery versus Conventional Median Sternotomy for Atrial Septal Defect Closure

Jung JC, Kim KH

BACKGROUND: Median sternotomy is the standard approach for atrial septal defect (ASD) closure. However, minimally invasive cardiac surgery (MICS) has been introduced at many centers in adult/grown-up congenital heart patients....
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The Transmanubrial Approach for Cervicothoracic Junction Lesions : Feasibility, Limitations, and Advantages

Park JH, Im SB, Jeong JH, Hwang SC, Shin DS, Kim BT

OBJECTIVE: We report on the technical feasibility and limitations of the transmanubrial approach for cervicothoracic junction (CTJ) lesions and emphasize the advantage of bisecting the upper part of the manubrium...
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Resection of Intrapericardial Schwannoma Co-Existing with Thymic Follicular Hyperplasia through Sternotomy without Cardiopulmonary Bypass

Chung JH, Jung JS, Lee SH, Kim KT, Lee K, Lee SH

  • KMID: 2288798
  • Korean J Thorac Cardiovasc Surg.
  • 2014 Jun;47(3):298-301.
A 35-year-old man was admitted to Korea University Anam Hospital for evaluation of intermittent chest pain. Computed tomography of the chest showed enlargement of a previously identified anterior mediastinal mass...
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Atrial Septal Defect Closure: Comparison of Vertical Axillary Minithoracotomy and Median Sternotomy

Poyrazoglu HH, Avsar MK, Demir S, Karakaya Z, Guler T, Tor F

BACKGROUND: This study aims to evaluate whether or not the method of right vertical axillary minithoracotomy (RVAM) is preferable to and as reliable as conventional sternotomy surgery, and also assesses...
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Comparative Analysis of Thoracotomy and Sternotomy Approaches in Cardiac Reoperation

Kim DC, Chee HK, Song MG, Shin JK, Kim JS, Lee SA, Park JB

  • KMID: 2289097
  • Korean J Thorac Cardiovasc Surg.
  • 2012 Aug;45(4):225-229.
BACKGROUND: Reoperation of cardiac surgery via median sternotomy can be associated with significant complications. Thoracotomy is expected to reduce the risk of reoperation and to enhance the surgical outcomes. We...
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Subxiphoid Incisional Hernia Development after Coronary Artery Bypass Grafting

Kim HS, Kim KB, Hwang HY, Chang HW, Park KJ

BACKGROUND: Median sternotomy can weaken the upper abdominal wall and result in subxiphoid incisional hernia. We evaluated risk factors associated with the development of subxiphoid incisional hernias after coronary artery...
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The Surgical Treatment for Aorto-cutaneous Fistula after Open Heart Surgery: A case report

Kim M, Kim BY, Shin YC, Kim WS, Jeong SC, Song CM

  • KMID: 1485564
  • Korean J Thorac Cardiovasc Surg.
  • 2008 Aug;41(4):516-519.
Aorto-cutaneous fistula is a rare complication after performing open heart surgery, but if this develops, it is a fatal condition. So, prompt diagnosis and aggressive surgical treatment is needed. We...
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Extraplerual and Mediastinal Hematoma Caused by Injury to the Internal Mammary Artery after Blunt Chest Trauma: A case report

Choi CS, Kim HY, Kim MY, Park JH

  • KMID: 1987471
  • Korean J Thorac Cardiovasc Surg.
  • 2008 Feb;41(1):133-136.
Injury to the internal mammary artery secondary to blunt chest trauma is a rare condition. It is also uncommon to see extraplerual and mediastinal hematoma in these circumstances; this demands...
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One-stage Repair of Aortic Arch Anomalies and Intracardiac Defects through Median Sternotomy

Sung SC, Chang YH, Lee SK, Lee HD, Kim S, Yie K, Woo JS, Lee YS

  • KMID: 1878443
  • Korean J Thorac Cardiovasc Surg.
  • 2005 Apr;38(4):291-300.
BACKGROUND: One-stage repair of aortic arch anomalies and intracardiac defects through median sternotomy has been recently adopted by many institutions since it is known to be safer than the staged...
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Analysis of Risk Factors in Poststernotomy Sternal Wound Infection and Mediastinitis after Open-heart Surgery

Chang W, Park HG, Kim H, Youm W

  • KMID: 2288902
  • Korean J Thorac Cardiovasc Surg.
  • 2003 Aug;36(8):583-589.
BACKGROUND: With the purpose of identifying significant risk factors in poststernotomy sternal wound infection and mediastinitis, we underwent a retrospective analysis of the whole patients operated on at the our...
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Irrigation-suction System for Management of Deep Sternal Wound Infection after Open Heart Surgery: Four cases

Kim SI, Oh SJ

  • KMID: 1886019
  • Korean J Thorac Cardiovasc Surg.
  • 2003 Jun;36(6):431-435.
Deep sternal wound infection (with or without acute mediastinitis) is a serious complication of open heart surgery, with high rates of associated morbidity and mortality, and prolonged hospitallization. The result...
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