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Updated: Feb 15, 2026

A Modified Technique for Transverse Aortic Constriction in Mice
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Transverse sternothoracotomy

C Wright1

  • 1General Thoracic Surgical Unit, Massachusetts General Hospital, Boston, USA.

Chest Surgery Clinics of North America
|February 1, 1996
PubMed
Summary
This summary is machine-generated.

The clamshell incision, or transverse sternothoracotomy, is a revived surgical approach for complex procedures like double lung transplants and mediastinal tumor removal. This technique offers excellent exposure for bulky tumors extending into the pleural space.

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Area of Science:

  • Thoracic surgery
  • Surgical oncology

Background:

  • The clamshell incision (transverse sternothoracotomy) is an established surgical approach.
  • Its use has seen a resurgence in modern thoracic surgery.

Purpose of the Study:

  • To highlight the renewed application of the clamshell incision in contemporary thoracic procedures.
  • To emphasize its utility in managing specific complex thoracic conditions.

Main Methods:

  • Review of surgical applications for transverse sternothoracotomy.
  • Analysis of its efficacy in treating double lung transplants and mediastinal tumors.

Main Results:

  • Transverse sternothoracotomy provides excellent exposure for bulky mediastinal tumors.
  • The incision is suitable for double lung transplantation and selected mediastinal tumor resections.

Conclusions:

  • The clamshell incision remains a valuable approach for specific thoracic surgeries.
  • It offers superior visualization for challenging cases involving mediastinal masses.