Median sternotomy for double lung transplantation with cardiopulmonary bypass in seven consecutive patients

Mitsutomo Kohno, Daniel A. Steinbrüchel

Research output: Contribution to journalArticle

6 Citations (Scopus)


We describe our technique of using median sternotomy to perform double lung transplantations with cardiopulmonary bypass. By sparing the respiratory muscles, median sternotomy is probably less invasive and preserves lung function. Furthermore, it causes less longterm discomfort than intercostal thoracotomy. Although exposure of the pleural space is less optimal, abundant pleural adhesions can be dissected, particularly in the left posterior pleural cavity, using pericardial traction stitches, exposing the retrocardiac pleura with minimal manipulation of the heart.

Original languageEnglish
Pages (from-to)406-409
Number of pages4
JournalSurgery Today
Issue number4
Publication statusPublished - 2012 Apr



  • Double lung transplantation
  • Midline sternotomy
  • Pericardial traction

ASJC Scopus subject areas

  • Surgery

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