Median Sternotomy for Lung Transplantation: Techniques and Advantages
DOI:
https://doi.org/10.1532/hsf.1809Keywords:
lung transplantationAbstract
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.
