Median Sternotomy for Lung Transplantation: Techniques and Advantages

Authors

  • Nicholas R Teman Division of Thoracic and Cardiovascular Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
  • Jianzhou T Xiao Division of Thoracic and Cardiovascular Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
  • Curtis G Tribble Division of Thoracic and Cardiovascular Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
  • Patrick E Parrino Section of Cardiothoracic Surgery, Ochsner Medical Center, New Orleans, Louisiana, USA

DOI:

https://doi.org/10.1532/hsf.1809

Keywords:

lung transplantation

Abstract

Lung transplantation is traditionally performed with a clamshell thoracotomy or bilateral anterior thoracotomy incisions. We have performed 121 lung transplants with a median sternotomy incision from 2013-2017. We present our technique for lung transplantation utilizing cardiopulmonary bypass with a median sternotomy, and discuss the potential advantages of this technique.

References

Dark JH. 2015. Median sternotomy for lung transplantation. Operative Techniques in Thoracic and Cardiovasc Surg 20:87-103.

Kohno M, Steinbruchel DA. 2012. Median sternotomy for double lung transplantation with cardiopulmonary bypass in seven consecutive patients. Surg Today 42:406-9.

Macchiarini P, Ladurie F, Cerrina J, et al. 1999. Clamshell or sternotomy for double lung or heart-lung transplantation. Eur J Cardiothorac Surg 15:333-9.

Meyers BF, Sundaresan RS, Guthrie T, et al. 1999. Bilateral sequential lung transplantation without sternal division eliminates post-transplantation sternal complications. J Thorac Cardiovasc Surg 117:358-64.

Pasque MK, Cooper JD, Kaiser LR, et al. 1990. Improved technique for bilateral lung transplantation: rationale and initial clinical experience. Ann Thorac Surg 49:785-91.

Published

2017-06-19

How to Cite

Teman, N. R., Xiao, J. T., Tribble, C. G., & Parrino, P. E. (2017). Median Sternotomy for Lung Transplantation: Techniques and Advantages. The Heart Surgery Forum, 20(3), E089-E091. https://doi.org/10.1532/hsf.1809

Issue

Section

Articles