Parasternal mediastinotomy and mediastinoscopy

Mediastinoscopy, Mediastinotomy And Thoracoscopy For Mediastinal Lesions

Cervical mediastinoscopy and anterior mediastinotomy in superior vena cava obstruction.

STUDY OBJECTIVES There is general agreement regarding the diagnostic efficacy of cervical mediastinoscopy (CMDS) and anterior mediastinotomy (AMDT) on patients with superior vena cava obstruction (SVCO), but controversy exists concerning the safety of these two diagnostic methods on that particular subset of patients. The purpose of the present study is to evaluate the safety and diagnostic eff...

The value of parasternal mediastinoscopy in staging bronchial carcinoma.

Computed tomography (CT) is the non-invasive staging procedure of choice for assessment of metastasis to mediastinal lymph nodes in patients with bronchial carcinoma. Cervical mediastinoscopy can provide histologic evidence of mediastinal spread to the peritracheal, tracheobronchial and subcarinal lymph nodes. Sub-aortic and para-aortic nodes cannot be sampled via this route. The present study ...

Anterior mediastinotomy.

The Left Parasternal Impulse.

A lift or heave which is palpable at the left sternal edge is an accepted clinical sign of right ventricular hypertrophy. The parasternal impulse has been recorded in normal subjects and in patients with heart disease, and the results are described in this paper. A detailed description of the instrument used to make the recordings has already been published (Beilin and Mounsey, 1962). This inst...