Key-Lock Type Mini-Sternotomy: An Alternative Approach for Adult Cardiac Operations
AbstractAn alternative technique for minimally invasive aortic valve replacement and atrial septal defect repair is described. After a 5-cm skin incision, a key-lock type sternotomy is made. Excellent exposure of the right atrium and aortic valve was achieved. The configuration of the mini-sternotomy (or the lock) limits the movement of the sternal surfaces (or the key) on the lateral and craniocaudal directions.
Ak K, Aybek T, Wimmer-Greinecker G, et al. 2007. Evolution of surgical techniques for atrial septal defect repair in adults: a 10-year single-institution experience. J Thorac Cardiovasc Surg 134:757-64.nAutschbach R, Walther T, Falk V, Diegeler A, Metz S, Mohr FW. 1998. S-shaped in comparison to L-shaped partial sternotomy for less invasive aortic valve replacement. Eur J Cardiothorac Surg 14:S117-21.nBakir I, Casselman FP, Wellens F, et al. 2006. Minimally invasive versus standard approach aortic valve replacement: a study in 506 patients. Ann Thorac Surg 81:1599-604.nWalther T, Falk V, Metz S, et al. 1999. Pain and quality of life after minimally invasive versus conventional cardiac surgery. Ann Thorac Surg 67:1643-7.n