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The Journal of Thoracic and Cardiovascular Surgery, Vol 78, 633-638, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Guidelines for safely opening a previous sternotomy incision

AT Culliford and FC Spencer

Operations through a previous sternotomy incision are associated with significant hazards, including cardiac injury, excessive hemorrhage during and after cardiopulmonary bypass, and postoperative sternal instability. A technique for safely opening previous sternotomy incisions has been developed at New York University Medical Center which has proved satisfactory in over 150 patients. It has been demonstrated repeatedly to be free of the serious and often lethal intraoperative and postoperative complications previously associated with this procedure.


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