Thymectomy through lateralized partial sternotomy

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Thymectomy through lateralized partial sternotomy

A young woman with nonthymomic myasthenia gravis with failure of medical treatment was offered thymectomy through partial sternotomy. Shifting of vertical arm of "L" incision laterally avoids fracture of opposite sternal flange and provides better sternal stability postoperatively.

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David procedure through an upper partial sternotomy.

A 47-year-old female patient presented with congestive heart failure [New York Heart Association (NYHA) Class III]. A coronary angiogram showed calcified coronary arteries without any significant stenosis. Echocardiography showed a tricuspid aortic valve with grade III aortic insufficiency. A computed tomography (CT) scan of the thorax showed an aneurysm of the aortic root and the ascending aor...

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Thymectomy by Partial Sternotomy for the Treatment of Non-Thymomatous Myasthenia Gravis

Background: Myasthenia gravis is an autoimmune disease characterized by weakness and fatigue of voluntary muscles. Thymectomy is considered an effective therapeutic option for patients with myasthenia gravis. The purpose of this study is to evaluate the efficacy of thymectomy by partial sternotomy for the treatment of non-thymomatous myasthenia gravis. Materials and Methods: From 2002 to 2006, ...

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Extended transcervical thymectomy with partial upper sternotomy: results in non-thymomatous patients with myasthenia gravis.

OBJECTIVES Thymectomy is a recognized treatment for myasthenia gravis (MG), but the optimal surgical approach is yet to be determined. This study analysed the results in non-thymomatous MG patients treated at our institution using an extended transcervical access with partial upper sternotomy (TC-US), in order to describe cumulative incidence of remission and its predictors. METHODS In the pe...

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Bilateral chylothorax after thymectomy via median sternotomy and resolution through conservative treatment.

Thymectomy has been shown to be effective in the treatment of myasthenia gravis patients. Rarely, bilateral chylothorax, was noted as a complication of thymectomy via median sternotomy. Probably unseen division of mediastinal lymphatics, remote from thoracic duct, can explain this phenomenon. We report the case of a patient, female, who developed bilateral chylothorax after the former surgical ...

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ژورنال

عنوان ژورنال: Journal of Cardiovascular Disease Research

سال: 2011

ISSN: 0975-3583

DOI: 10.4103/0975-3583.85268