Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

248
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
248

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Haemodynamic predictors of early aortic growth in uncomplicated type B dissection: a cohort study.

Interdisciplinary cardiovascular and thoracic surgery·2026
Same author

Phase Angle Shows a Negative Correlation With Serum GDF-15 Concentrations in Hospitalized Patients With Cardiovascular Disease.

Journal of nutrition and metabolism·2026
Same author

Zone 1 total arch replacement with frozen elephant trunk for type A dissection: early-to-mid-term outcomes.

Journal of cardiothoracic surgery·2026
Same author

Successful Emergency Cardiac Surgery for Intraoperative Pulmonary Artery Tumor Embolism During Renal Cell Carcinoma Surgery: A Case Report.

IJU case reports·2026
Same author

Infective Endocarditis due to Esophageal Squamous Cell Carcinoma Invasion of the Left Atrium: A Case Report.

Surgical case reports·2026
Same author

Feasibility of Portable Laser Doppler Flowmeter for Foot Blood Flow Assessment in Patients With Chronic Limb Threatening Ischaemia.

EJVES vascular forum·2025

Related Experiment Video

Updated: Jan 6, 2026

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
09:31

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism

Published on: February 14, 2022

2.5K

[Median Sternotomy( Re-do and Closure)].

Hironaga Ogawa1, Hirotsugu Fukuda

  • 1Department of Cardiovascular Surgery, Dokkyo Medical University, Tochigi, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 5, 2019
PubMed
Summary

Median sternotomy remains a widely used cardiovascular surgery approach, offering a good surgical view despite limitations. Careful execution is crucial to prevent complications, especially during redo-sternotomy to avoid right ventricle injury.

More Related Videos

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.1K
Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
08:49

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart

Published on: May 11, 2018

9.8K

Related Experiment Videos

Last Updated: Jan 6, 2026

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
09:31

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism

Published on: February 14, 2022

2.5K
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.1K
Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
08:49

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart

Published on: May 11, 2018

9.8K

Area of Science:

  • Cardiovascular Surgery
  • Surgical Techniques

Background:

  • Median sternotomy is a fundamental cardiovascular surgical procedure.
  • Minimally invasive cardiac surgery (MICS) has advanced but cannot perform all operations.
  • While Medline incisions offer aesthetic and infection control benefits over sternotomy, sternotomy remains prevalent due to its visual advantages and procedural simplicity.

Purpose of the Study:

  • To highlight the continued importance and application of median sternotomy in cardiovascular surgery.
  • To emphasize the critical need for meticulous technique in median sternotomy to prevent postoperative complications.
  • To underscore specific precautions required during redo-sternotomy, particularly regarding right ventricle injury.

Main Methods:

  • Review of standard median sternotomy procedures in cardiovascular surgery.
  • Comparison of median sternotomy with minimally invasive cardiac surgery (MICS) and Medline incisions.
  • Identification of critical steps and potential risks associated with median sternotomy.

Main Results:

  • Median sternotomy provides a superior field of vision and simplifies surgical access compared to some alternatives.
  • Despite MICS advancements, median sternotomy is still widely performed for various cardiovascular procedures.
  • Potential complications include issues related to surgical field access and specific risks like right ventricle injury in redo-sternotomy.

Conclusions:

  • Median sternotomy is an essential and frequently utilized technique in cardiovascular surgery.
  • Careful and precise execution of median sternotomy is paramount to minimize patient morbidity.
  • Particular vigilance is required to prevent right ventricle injury during redo-sternotomy procedures.