Heart Transplantation Using Manubrium-Sparing Sternotomy for Sternal Re-Entry

Authors

Suguru Ohira, Department of Surgery, Division of Cardiothoracic Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
David Spielvogel, Department of Surgery, Division of Cardiothoracic Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Gregg M. Lanier, Department of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Masashi Kai, Department of Surgery, Division of Cardiothoracic Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.

Author Type(s)

Faculty

Journal Title

Journal of Cardiac Surgery

First Page

5643

Last Page

5645

Document Type

Article

Publication Date

12-1-2022

Department

Surgery

Second Department

Medicine

Abstract

We report a technique of heart transplantation performed by manubrium-sparing sternotomy for challenging re-entry after minimally invasive left ventricular assist device insertion. A T-shaped, manubrium-sparing sternotomy was performed using an oscillating saw up to the first intercostal space. After cardiopulmonary bypass was established via the right axillary artery and percutaneous venous cannulation of the right jugular and femoral vein, the outflow graft was ligated and divided via a left thoracotomy. All anastomoses were performed with a standard technique with an excellent exposure and outcome.

Recommended Citation

Ohira, S., Spielvogel, D., Lanier, G. M., & Kai, M. (2022). Heart Transplantation Using Manubrium-Sparing Sternotomy for Sternal Re-Entry. Journal of Cardiac Surgery, 37 (12), 5643-5645. https://doi.org/10.1111/jocs.17071