Median Sternotomy

[TheLegendSparda]

interesting !!!

[Dhemi4life]

Simple amazing. I had open heart surgery a couple years ago for a murmor. So cool to watch how they basically did it.

[XJDCprideX]

what are the materials used in median sternotomy?

[XJDCprideX]

thanks for posting the video... coz i will be assisting the surgeon today (june 15,2011) case is on 1 pm, this really guide me on how the median sternotomy is performed. Thanks.. ^_^ - student nurse

[iluvvsmp2]

daaang sucka look at that heart go! its like *wobble wobble wobble!*

[veryfreshsub]

jesus, i think im gonna go for a run

[PaoloCaglioLMT]

Beautiful!

[mgelevli]

Rib cage is connected to the chest bone, sternum, which has somewhat an equilibrium role in chest mechanics, to produce negative pressure, for inspiration, which is mainly the function of the diaphragm. In order to access the heart, we often divide the sternum into two equal parts, which we approximate them at the end of the operation with steel wires. I will soon post a new video showing various techniques of doing so. Thanks for your attention...

[mgelevli]

Hello...

I am so sorry that I could not post any replies to your comments on this video for a long time, as a result of You Tube ban in Turkey...

[cretehot]

have had a quadruple heart bypass just over a year ago..glad i wasnt awake to see this !!!!!...and yes they break your ribcage...can show you the scars !!!!

[LukeL007]

One thing I am curious about is how a rib spreader works. Is part of the sternum removed and the spreader inserted there to spread the ribs? Do you have to break the rib cage?

[hamlinfan07]

May God Bless the hands of those surgeons!

[founditnow54]

you really have to have some guts to do this stuff............ (no pun intended)

[sieglines]

how come germs dont attack?

[FornaxFlaminius]

bc they already ate

[crutley2]

Jee - no wonder my chest was a bit sore when I woke up!

[SigmaXVirus]

The rib spreader is so hardcore

[phatehunter]

Wow, this is fascinating, how do they sew him back together. This is fascinating to watch

[faroooha88]

ya i have the same quetion above ... are these are the lungs in purple like color ??

they looks so small .. if it is really the lung !!

[axii93]

No it couldn't be the lungs because they wouldn't be moving like this ! Are you a docteur?

[Jirureru]

Yes it is the left lobe of the lung. It is not moving on its own, rather the heart is contracting beneath the lung and pushing it upwards. The patient is anesthetized (likely with propofol) which stops the lungs from being inflated, but not the heart from contracting.

[vegetto456]

Isnt it the appendage of the left atrium. When I dissected the thoracic cavity for our anatomy class in med school, i saw the samething, the left atrial appendage, no way thats the lobe of the lung. And besides its within the pericardial sac, how the frick would the lung lobe get there?

[africabatic2]

What were.are you studdieing for. Cardiothoracic Surgery?

[FornaxFlaminius]

It's the right atrial appendage, overlapping the aorta, whereas the left overlaps the pulmonary artery. Ground control to Major Jirureru... take your protein pills and put your helmet on.

[Jirureru]

Yes the purple organ is the left lobe of the lung. It looks so small because it is not inflated due to the effects of anesthesia.

[FornaxFlaminius]

Incorrect.

[heparynian1980]

why incorrect ?

[sophiegromit]

My father is going in for arotic valve replacement (porcine valve) in a few days, and watching this was very disconcerting. He's in his 70's, and otherwise in good health, and we were told this is routine (nowadays), but serious, surgery.

[RoboSabs]

There is a special tip on the end of the saw that has a guard to stop the saw blade from contacting any soft tissue below the saw blade, Also the doctor feels with his finger to judge depth and anatomy so he doesn't hit anything important. Skill also plays a roll.

[Swanland1977]

Wow - amazing - how do you avoid cutting into the aorta?

[axii93]

They are surgeons, it's thier jobs!

[abida05]

wow dr. are amazing

[axii93]

Yes, they are =)

[f15x28isback]

I could hardly watch this... yet I could not look away. Surgeons really have guts... (no pun intended)

[sarge5000]

wow, that is just way too cool!

[grenouil1970]

Super !

Thank you very much for your video... :o)

Please, give us more videos... Please !

[pvtluca]

The purple ear looking structure @7min mark is the Right Atrium of the heart. The heart consists of 4 chambers. R.Atrium is the chamber which receives deoxygenated blood from all over the body. The rest of the purply flesh is the right ventricle, which receives blood from the right atrium and pumps blood to the lungs for oxygenation. The whitish yellow structure upon which the right atrium is 'flapping' about on is the Aorta, a large artery which receives oxygenated blood direct from the heart.

[pmusa07]

thx for this vid.

are they the lungs we see pulsing near the 7min30sec? i thought they were bigger than that?

and what are these wires sergeons are establishing?

(sorry for my ad english)

[axii93]

It's not the lungs ! They don't move like this ! And they are not even closer to the heart!

[Jirureru]

Yes the purple organ on the right is the left lobe of the lung. A median sternotomy opens the breastbone to access to the heart in cardiothoracic surgeries such as a heart transplant, bypass, etc. The lungs are located superior to the heart.

[erdembudak]

oha ya.