Related Experiment Video
Updated: Apr 6, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Video-Assisted Thoracic Surgery After Median Sternotomy for Cardiac Surgery
Derek Serna-Gallegos1, Heather Merry1, Robert J McKenna1
1Division of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, 8631 West Third, Suite 240E, Los Angeles, CA 90048, USA.
Abstract:
Video-assisted thoracic surgery (VATS) lobectomy has become a standard approach for early stage 1 lung cancer. However, concerns still remain regarding certain clinical situations, such as potential damage to the heart or bypass grafts when VATS is performed after median sternotomy for cardiac surgery. In this article, techniques are described to minimize risk to an internal mammary artery graft during a VATS anatomic pulmonary resection in this group of patients. The article reviews data on VATS after median sternotomy for cardiac surgery and describes techniques to prevent, treat, and mitigate problems in this group of patients. Management of intraoperative crises is also discussed.
More Related Videos
Related Concept Videos
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Mitral Stenosis III: Medical Management
Pneumothorax-II
Clinical Manifestations:
Cardiopulmonary Resuscitation II: ACLS Airway Management
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

