Primary sternotomy should be pretty straight forward but there can be problems. These can be divided into

Problems inherent to sternotomy[edit | edit source]

Sternotomy problems in special circumstances[edit | edit source]

  • Sternotomy in a patient with a Coarctation
  • Sternotomy in a patient with a Previous BT shunt
  • Sternotomy in a patient with a history of mediastinal irradiation
  • Sternotomy in a patient with previous tracheostomy
  • Sternotomy in a patient with a previous thoracotomy
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