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Ann Thorac Surg 1998;65:573
© 1998 The Society of Thoracic Surgeons

How to Do It

Full-Spectrum Cardiac Surgery Through a Minimal Incision: Mini-Sternotomy (Lower Half) Technique

Donald B. Doty, MD, Gregory B. DiRusso, MD, John R. Doty, MD

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, LDS Hospital, Salt Lake City, Utah, USA

Accepted for publication October 27, 1997.

Dr Donald Doty, 324 Tenth Ave, #160, Salt Lake City, UT 84301.

A technique is described in which most, if not all, cardiac operations may be performed through a standard small incision. A midline, lower half sternotomy is used. This provides traditional exposure of the heart and allows the surgeon to directly visualize the operating field and use familiar instruments. The complete spectrum of coronary revascularization and cardiac valve operations has been performed through this less-invasive incision.




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