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Ann Thorac Surg 1982;34:473-474
© 1982 The Society of Thoracic Surgeons

Articles

Median Sternotomy T Incision for Thymectomy in Myasthenia Gravis

J.I. Miller, M.D.*, K.A. Mansour, M.D., C.R. Hatcher, Jr., M.D.

Joseph B. Whitehead Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Emory University School of Medicine, Atlanta, GA

Accepted for publication October 15, 1981.

* Address reprint requests to Dr. Miller, 25 Prescott St, NE, Atlanta, GA 30308

Controversy exists over the surgical approach for thymectomy for myasthenia gravis. Opinion is divided between transcervical thymectomy and transsternal thymectomy performed through a median sternotomy. A technique that combines the advantages of a small, cosmetic T incision with good visualization through a partial sternotomy is presented. We have utilized this technique in more than 35 patients during the past ten years with excellent results.




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