Thoracotomy Health Dictionary

Thoracotomy: From 2 Different Sources


An operation in which the chest is opened to provide access to organs in the chest cavity.

There are 2 types of thoracotomy: lateral and anterior. In a lateral thoracotomy the chest is opened between 2 ribs to provide access to the lungs, major blood vessels, and the oesophagus. In an anterior thoracotomy, an incision down the sternum (breastbone) provides access to the heart and the coronary arteries.

Health Source: BMA Medical Dictionary
Author: The British Medical Association

Coronary Artery Bypass Graft

(CABG) *coronary revascularization in which a segment of a coronary artery narrowed by atheroma is bypassed by an *autologous section of healthy saphenous vein or internal mammary artery at *thoracotomy. The improved blood flow resulting from one or more such grafts relieves *angina pectoris and reduces the risk of *myocardial infarction. Recently developed techniques of *minimally invasive surgery have enabled the operation to be performed without the need for thoracotomy.... coronary artery bypass graft

Transcatheter Aortic Valve Implantation

(TAVI) replacement of the aortic valve in patients with *aortic stenosis using a catheter-delivered prosthesis rather than open heart surgery. Usually the catheter is passed via the femoral artery, but sometimes it can be passed via the subclavian artery or through the wall of the left ventricle via a localized *thoracotomy.... transcatheter aortic valve implantation

Ventricular Assist Device

(VAD) a mechanical pump implanted in the body for the purpose of taking over some or all of the pumping action of the heart in patients with severe heart damage. Support may be given to the left ventricle (LVAD), right ventricle (RVAD), or both. Most such devices require *thoracotomy, but a percutaneous device is now also available. This is usually regarded as a temporary measure until the heart has recovered or is transplanted.... ventricular assist device



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