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- Joseph Costa, Joshua R Sonett, and Frank D'Ovidio.
- Lung Transplant Program, Columbia University Medical Center, New York, New York.
- Ann. Thorac. Surg. 2015 Dec 1; 100 (6): 2376-8.
AbstractThe bilateral transverse thoracosternotomy clamshell incision provides excellent exposure to the mediastinal structures in double lung transplantation. The use of a modified transverse sternotomy and a figure of 8 configuration with one monofilament metal wire, along with two longitudinal wires across the sternal division, results in greater stability and equally distributed oblique tension. Our described technique was more cost effective and resulted in no incidence of dehiscence. We present our experience using a modified transverse sternotomy and reinforced sternal closure method. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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