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Ann Thorac Surg 1984;38:414
© 1984 The Society of Thoracic Surgeons

Articles

Curvilinear Paramedian Sternotomy

Myles Edwin Lee, M.D.*, Carlos Blanche, M.D.

Section of Cardiac Surgery, Department of Thoracic and Cardiovascular Surgery, Cedars-Sinai Medical Center, Los Angeles, CA

Accepted for publication March 2, 1984.

* Address reprint requests to Dr. Lee, Cedars-Sinai Medical Center, Department of Thoracic and Cardiovascular Surgery, Room 6215, 8700 Beverly Blvd, Los Angeles, CA 90048

A modification of the classic straight midline sternotomy incision is described. The technique involves performing the sternotomy in a curvilinear manner along both sides of the midline to create two sternal halves that interdigitate with one another. With such a configuration, malalignment is virtually impossible.






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