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Wed May 2 11:57:40 BST 2007

Ian,
I am certainly no expert, but as I see it, the bilateral incision (ie extension of the lt thoracotomy across the sternum to the right) gives you much better visualization of the entire heart, and enables you to perform open compressions more easily while doing whatever the repair de jour you need to do.
JMHO,
Ron

>>> "Ian Seppelt" <SeppelI at wahs.nsw.gov.au> 5/2/2007 3:54 AM >>>
We've been through this before, but could an expert surgeon please
explain specifically the pros and cons of left anterolateral thoracotomy
versus bilateral clamshell thoracotomy.

Thanks, Ian

Ian Seppelt FANZCA FJFICM
Senior Staff Specialist
Dept of Intensive Care Medicine
The Nepean Hospital, PO Box 63 Penrith NSW 2751
Director of Clinical Research, Sydney West AHS
Clinical Lecturer, University of Sydney

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