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Kit V. Arom
Jerry L. Franz
Frederick L. Grover
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Ann Thorac Surg 1977;24:289-290
© 1977 The Society of Thoracic Surgeons

Articles

Subxiphoid Anterior Mediastinal Exploration

Kit V. Arom, M.D.*, Jerry L. Franz, M.D., Frederick L. Grover, M.D., J. Kent Trinkle, M.D.

From the Division of Cardiothoracic Surgery, The University of Texas Health Science Center at San Antonio, and the Audie Murphy Veterans Administration Hospital, San Antonio, TX

Accepted for publication March 17, 1977.

* Address reprint requests to Dr. Arom, Division of Cardiothoracic Surgery, The University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78284

A new surgical technique for anterior mediastinal exploration is described. The technique involves application of a Carlens mediastinoscope by means of a subxiphoid incision. The procedure provides complete exploration of the anterior mediastinal compartment and allows the surgeon to obtain a positive biopsy of the tumor or its lymph node metastases without sternotomy.






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