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Chest wound infection after bypass surgery

Infection in the chest wound & leg - Heart bypass surgery

Surgical Site Infection After Cardiac Surgery: A

Infectious Complications of Cardiac Surgery: A Clinical Revie

Surgical site infections (SSIs) following coronary artery bypass graft (CABG) procedures pose substantial burden on patients and healthcare systems, particularly from serious infections at sternal sites (e.g. deep incisional and organ/space SSIs) Infection The wounds in your chest and arm or leg (depending on where the grafted blood vessels were removed) can become infected after a coronary artery bypass graft. Infection can also affect your lungs or the inside of the chest after having a coronary artery bypass graft Aus_ap. I am in 2nd week after CABG X5. This morning I just noticed a small discharge from bottom of the sternum wound (3-4 drops, yellow discharge) also bottom of the wound looks little yellowish. Not sure If I should wait for 1 more day or go and see doctor immediately After coronary bypass surgery, a typical recovery at home is six weeks, though recovery can take anywhere from four to twelve weeks. When you arrive at home, you and your caregiver—a family member, friend, or home health aide you have identified before the surgery - will: Monitor for symptoms of infection in the chest incision, such as fever.

Sternal Precautions After Heart Surgery

SSI is an acute wound infection developed at the surgical site within 30 days following surgery After you leave the hospital, an important part of your recovery from coronary bypass surgery will be monitoring your incisions at home to be sure they are healing properly. You will probably have a long incision down the center of your chest. If your coronary bypass surgery was a minimally invasive operation, you may have a smaller incision, or series of incisions, in between your ribs

Video: Treatment of sternal wound infections after open-heart surger

Chest pain may occur for several reasons, including musculoskeletal reasons, myocardial ischemia, aortic dissection, wounds or infections, pneumonia or gastritis. If chest pain does not reside shortly after surgery, it is best to seek treatment as soon as possible Suspect sternal wound infection if the pain is localised to the surgical scar and is accompanied by erythema or discharge at the site, fever, or malaise Persistent pain after surgery with normal findings on assessment and investigations may be attributed to musculoskeletal cause or chronic postoperative pai

Most Common Open-Heart Surgery Complication

  1. Results: We identified 6 male patients aged between 49 and 64 years with prosthetic valve endocarditis or vascular graft infection due to M. chimaera, which became clinically manifest with a latency of between 1.5 and 3.6 years after surgery. Mycobacterium chimaera was isolated from cardiac tissue specimens, blood cultures, or other biopsy.
  2. Atrial fibrillation is a rapid or irregular heartbeat after having surgery. It affects around three in 10 people after coronary artery bypass graft (CABG), four in 10 people after valve surgeries, and about 5 in 10 people after combined surgery. This isn't a dangerous complication and it's not a sign of any problem with your operation
  3. 1. Introduction. Chronic post sternotomy pain syndrome is well recognized phenomenon that was first described by Weber and colleagues after coronary artery bypass graft surgery (CABG) . Generally, it affects about 11-56% of patients post cardiac surgery .After exclusion of myocardial ischemia, wound infection and sternal instability, the cause of persistent pain is unclear and may be related.
  4. imally invasive surgery, you likely have a much smaller incision that may or may not have gone through your sternum. You may also have small incisions on your groin, leg or arm, as well as small wounds from chest tubes, pacemaker wires or intravenous (IV) lines. Inspect all your incisions and wounds every day for signs of infection

Sternal wound infection after cardiac surgery: incidence

  1. e independent risk factors for leg surgical site infections using our institutional Society of Thoracic Surgeons database
  2. Do you know all about Infection Symptoms? Learn more about Infection Symptom
  3. The impact of deep sternal wound infection on long-term survival after coronary artery bypass grafting. Chest. 2005; 127(2):464-71. De Feo M, Renzulli A, Ismeno G, et al. Variables predicting adverse outcome in patients with deep sternal wound infection

Managing a sternal wound infection after cardiac surgery HOLCOMB, SUSAN SIMMONS RN,BC, ARNP,BC, MN, PHD Nursing2004: September 2004 - Volume 34 - Issue 9 - p 68-6 My stepmom had triple bypass surgery May 11, 2008. She is still hospitalized almost 6 months later due to multiple complications including atrial fib, congestive heart failure, pneumonia, multiple wound infections (staph epi, pseudomonas, MRSA), DVT's, and malnutrition (30% weight loss, now 94lbs). She barely survived a recent episode of sepsis July 16, 2021. Open heart surgery is any surgical procedure where the doctor or surgeon cuts the chest open and performs surgery on the heart's muscles, valves, or arteries. Restrictions after open heart surgery are necessary to promote quick recovery and prevent serious complications. At times, a heart problem can be prevented by a dental. Groin Wound Infection from Bypass; CABG then wound infection... GOING INSANE!! Try to keep it clean and covered with sterile gauze pads taped to your chest until you get there. Don't ignore it. Get it looked at as soon as you can. Infection after bypass surgery. Update on CABG.x3 and subsequent wound infection

Post-operative Chest Infection Health Patien

What You Need to Know About Open Heart Surgery Scars. February 04, 2021. Open heart surgery is an operation that requires opening the chest wall to repair a fault in or damage to the heart muscle, its arteries or valves. These surgeries treat complications of ischemic heart disease via bypass surgery of blocked arteries, correct congenital. 1 Introduction. Deep sternal wound infection (DSWI) is a devastating complication following cardiac surgery and is associated with significant increases in hospital length of stay (LOS), costs, morbidity, and mortality [1, 2].Previous studies have reported DSWI rates from 0.5% to 3.6% .Mortality rates may vary between 15% and 40% [3, 5].Only few studies have yet described the exact economic. chest wound infection (more common in patients with obesity or diabetes, or those who've had a CABG before) heart attack or stroke. irregular heartbeat. lung or kidney failure. What is the life expectancy after open heart surgery

syd-barrett (Inactive) There are quite a few reasons that a wound would have problems healing properly. The first issue too look at is infection and if you were having troubles from the 3rd day, it may have been acquired in the hospital (called a nosocomial infection) One-hundred and fifty patients undergoing open heart surgery were investigated for development of postoperative wound infections. These patients underwent midline sternotmy for various procedures like coronary artery bypass, valve replacements and repair of congenital defects. Sternal wound infections developed in 14 (9.3%) patients. Two patients of coronary bypass developed leg wound infections After the 6 weeks from the date of the surgery, the incision in the chest is essentially healed to about 80 percent. Slowly the patient can start normal activities including driving. The patient may get back to work, but physical exertion should be avoided. The doctor may ask the patient to start with the cardiac rehabilitation process Infections of the chest wound Since the coronary artery bypass surgery takes place during the opening of the chest. So, it's known as a sensitive procedure. It's pointless to mention that it takes place in a completely sterile environment. At this time, not even single bacteria should be able to exist. During the surgery, the risk isn't too bad The epidemiology of chest and leg wound infections following cardiothoracic surgery. Clin Infect Dis. 1996;22(3):424-429. 10. Olsen MA, Sundt TM, Lawton JS, Damiano RJ, Hopkins-Broyles D, Luck-Buckley P, Fraser VJ. Risk factors for leg harvest surgical site infections after coronary artery bypass graft surgery

Sternum Healing, Wires & Infection After Heart Surger

  1. Learn about chest pain after heart surgery from sternum wires as Dr. Lishan Aklog addresses patient question specific to breast bone healing. I had bypass heart surgery in mid year of 2013. I want to have the wire removed so much, but am afraid that the danger of anesthesia and infection following surgery, because of high infection.
  2. The clinical and economic impact of deep chest surgical site infections following coronary artery bypass graft surgery. Chest. 2000;118(2) Hospital-associated costs due to surgical site infection after breast surgery. Vethanayagan D. Total and attributable costs of surgical-wound infections at a Canadian tertiary-care center
  3. Recovery from bypass surgery can last about six to 12 weeks. You shouldn't drive or lift anything heavier than five pounds for six weeks. Contact your doctor if you have a fever over 100.4 degrees Fahrenheit, bleeding or reddened skin around your chest wound, or new or worsened pain around the incision, as these can be signs of complications
  4. Summary. A best evidence topic in cardiovascular surgery was written according to a structured protocol. The question asked was whether the use of skin sutures or skin staples for chest and leg wounds in patients following cardiovascular surgery reduces the incidence of wound infections
  5. Margaret A. Olsen, Patricia Lock-Buckley, Diane Hopkins, Louis B. Polish, Thoralf M. Sundt, Victoria J. Fraser, The risk factors for deep and superficial chest surgical-site infections after coronary artery bypass graft surgery are different, The Journal of Thoracic and Cardiovascular Surgery, 10.1067/mtc.2002.122306, 124, 1, (136-145), (2002)

A deep sternal wound infection (DSWI) can become a severe complication after cardiac surgery, with in-hospital mortality rates reaching up to 35%. Staphylococci, particularly methicillin resistant Staphylococcus aureus (MRSA), play important roles in its etiology. This case report presents a patient who underwent coronary artery bypass surgery, and suffered postoperatively from a DSWI caused. chest wound infection (more common in patients with obesity or diabetes, or those who've had a CABG before) heart attack or stroke. irregular heartbeat. lung or kidney failure. Can you have a heart attack after bypass surgery AbstractObjective: We sought to determine risk factors for deep and superficial chest wound infections after coronary artery bypass graft surgery to develop predictive models. Methods: We retrospectively analyzed data collected on 1980 consecutive patients undergoing coronary artery bypass surgery at our institution between January 1, 1996, and. 10.1055/b-0034-97725 Sternal Wound InfectionLouis H. Poppler & Thomas H. H. Tung Intraoperative consultation on a 67-year-old woman who had undergone three-vessel coronary artery bypass (left internal mammary and saphenous vein grafts) with subsequent sternal infection and wound dehiscence. Description Patient with evidence of an anterior midline chest wall wound measuring roughly 15 × 8 cm Post- Bypass Wound Breakdown. Heart Bypass surgery is a life saving procedure done following symptoms like a heart attack when it is diagnosed that blood supply to different parts of the heart is reduced due to narrowing of blood vessels supplying blood to the heart. For bypass surgery, the chest is opened in the midline and surgery is performed

The surgeon reported that there was no evidence of infection of the wound and there was no culture sent. The patient continued to have drainage from sternal wound with low-grade fever. He experienced progressive shortness of breath and came to the emergency department with near syncope 6 weeks after the bypass surgery Infections Overall, 231 SSIs occurred after a median time interval of 16 days, corresponding to a rate of 8.7 SSIs per 100 operations. Chest wound infections occurred after 93 operations (3.5%), and leg wound infections without chest involvement after 138 interventions (5.2%). The proportion of patients with deep

Signs of Infection After Surgery - Healthlin

  1. istering prophylactic antibiotics for 48 hours after cardiac surgery has been shown to
  2. The vacuum-assisted closure system for the treatment of deep sternal wound infections after cardiac surgery. Ann Thorac Surg 2002; 74:1596. Agarwal JP, Ogilvie M, Wu LC, et al. Vacuum-assisted closure for sternal wounds: a first-line therapeutic management approach
  3. Infection and erosion of the saphenous vein graft with a mediastinal hemorrhage is a rare but highly lethal complication of cardiac surgery. Our review of the literature also suggests that hemorrhagic complications may be associated with an inability to control the local infection, leaving the mediastinum open for a prolonged period following the drainage of infection and frequent operative.
  4. infections withM. chimaera involving 2 cases of prosthetic valve endocarditis and bloodstream infection after open-chest heart surgery concerning an annuloplasty ring and an artificial heart valve implant, respectively [11]. InOctober 2012, the infection control team atour institution was notified of 2 cases of invasive M. chimaera infection.

Sternal Wound Infection in Post-CABG Diabetic

  1. The average incidence rate of Deep Sternal Wound Infections (DSWI) ranges from 0.5% to 6% in the immediate postoperative period and ranges from 0,3% to 7.3% in a 90 day follow up period. 1,2. The average cost of treating a Deep Sternal Wound Infection is $ 60.000 USD. 3,4,5. Using an external chest support after a Sternotomy can reduce in half.
  2. g of chest tube removal after cardiac surgery is sparse. The ti
  3. After surgery, the blood will be allowed to flow through your heart. Your surgeon will close the incision where the graft came from with stitches and cover it with bandages. Your chest incision will be closed. A bandage will cover your incisions to keep the area clean and dry to prevent infection. What will happen after CABG surgery
  4. Of all surgical procedures requiring a sternotomy, coronary bypass surgery is certainly the most common one.During coronary bypass surgery, a median sternotomy is performed by making a vertical incision in the middle of the sternum (breastbone), in order to open the chest cavity and access coronary arteries
  5. Peripheral artery bypass - leg - discharge. Peripheral artery bypass surgery is done to re-route the blood supply around a blocked artery in the leg. You had this surgery because fatty deposits in your arteries were blocking blood flow. This caused symptoms of pain and heaviness in your leg that made walking difficult
  6. e how deep chest surgical site infections following coronary artery bypass graft (CABG) surgery impact hospital inpatient length of stay (LOS), costs, and mortality. SETTING A large, Midwestern community medical center. DESIGN All CABG patients who developed deep chest infection (n = 41) were compared to a set of control subjects (n = 160) systematically selected as.
  7. Anastomotic Leak After Gastric Bypass Surgery What is an anastomotic leak after gastric bypass surgery? Gastric bypass is a type of weight-loss surgery. During the surgery, the top of the stomach is changed into a small pouch. A loop of your small intestine is cut, and one end of the loop is connected to the stomach pouch

Precautions after Bypass Surgery, Know the Do's & Don'ts

A bypass surgery is used for treatment of narrowed arteries. A detour or a bypass is created around the section of blocked artery. This new pathway is created by using a graft. Open heart surgery refers to a type of surgery in which the chest wall is surgically opened and heart is exposed. This surgery is performed on the muscles, valves, or arteries of the heart Staphylococcus aureus and repeat bacteremia in febrile patients as early signs of sternal wound infection after cardiac surgery. Journal of Cardiothoracic Surgery, Vol. 9, Issue. 1, Journal of Cardiothoracic Surgery, Vol. 9, Issue. 1

Dangerous Infections That Happen Weeks After Heart Surgery

After cardiac bypass surgery you'll need to take pain medications, as you can feel wound and muscle pain for a few weeks (if the pain persists beyond a few weeks, see your doctor). You can learn more about different types of chest pain here. You'll also be given medicines to lower your risk of complications and a further cardiac event If the wound is oozing or catching on clothing, you may cover it with a very light dressing, but otherwise leaving the wound open to air whenever possible may help prevent suture infection. After about three weeks, it is usually safe for your incision to get completely wet

Increased wound infection and splitting open of the wound in patients having general surgery or hip and knee replacements. Increased sternal (chest bone) wound infection after coronary bypass surgery. Increased wound necrosis (tissue death) after mastectomy and breast reconstruction. Increased incisional and recurrent inguinal hernias Possible risks from having coronary bypass surgery include: Infection, including chest wound infection, which is more likely to happen if you are obese, have diabetes, or have already had this surgery Heart attack Stroke Heart rhythm problems Kidney failure Lung failure Depression and mood swing The patients' characteristics differed between those who had undergone CABG before and after implantation of the infection control strategy. To adjust for the variables affecting the occurrence of wound infection between the two groups, we used propensity score matching adjusting for the preoperative and operative variables Infection Around Incision Site. Another complication of gastric sleeve surgery is an infection around one of the incision sites. In the era of minimally invasive surgery, this also very rare; occurring in less than 1% of surgical cases. While infections can occur after any surgery, obesity does raise this risk slightly

Background Sternal Wound Infection (SWI) is a severe complication after cardiac surgery. Debridement associated with primary closure using Redon drains (RD) is an effective treatment, but data on RD management and antibiotic treatment are scarce. Methods We performed a single-center analysis of consecutive patients who were re-operated for SWI between 01/2009 and 12/2012 DOI: 10.1097/00006534-199810000-00090 Corpus ID: 42291390. Chest wall reconstruction for sternal wound infection after internal mammary and gastroepiploic coronary artery bypass One of the most common complications after surgery is surgical wound infection (SWI). After vascular sur-gery, wound infection may cause the exposure of the underlying graft, and it may even necessitate the re-moval of the vascular graft. It has been shown that SWI after vascular surgery increases the risk of majo Surgery that involves a cut (incision) in the skin can lead to a wound infection after surgery. Most surgical wound infections show up within the first 30 days after surgery. Surgical wound infections may have pus draining from them and can be red, painful or hot to touch. You might have a fever and feel sick Certain patients who have undergone coronary artery bypass grafts suffer from episodes of acute cellulitis, often repeatedly, in the saphenous vein donor extremity. We describe nine patients with this entity, five of whom suffered recurrent attacks (range, two to >20). The mean interval between..

Myocardial infarction after CABG Occlusion or stenosis of bypass grafts or nonbypassed coronary arteries (caused by disease progression or because severely dis­ eased coronary arteries were nongraftable or too small) can lead to ischemic chest pain after CABG surgery. This chest pain can be typ­ ical or atypical Infection after surgery can lead to more pain, prolonged time in the hospital, readmission to the hospital and, in rare cases, life-threatening illness. By knowing the signs and symptoms, however, and looking at your incision regularly, you can help boost the odds of early detection and prompt treatment of any infection that might occur Incision and wound care require an open heart surgery scar to be clean and dry at all times. If you need to take a bath, avoid the incision site from becoming wet. Doctors recommend taking no more than 10 minutes of bathing to prevent further complications. Moreover, replace the gauze and disinfect around the area (not directly) with alcohol

I am extremely tired all the time. My bypass was in Oct. 8, 2019. I had to wear a wound vacuum on two of the vein removal wounds and my chest for 5 months. I wound up having a clean up surgery the day after Thanksgiving to rid the chest wound which was 15 cm long and 10 cm wide. Is this unusual? Now I seem to be tired all the time Risk for Infection Following an open chest procedure, a sternal infection may de-velop that can progress to involve the mediastinum.Clients with IMA grafts, who are diabetic, are older, or malnourished are at high risk:Harvesting of IMA disrupts blood supply to the sternum, and these clients have impaired immune responses and healing (Technically speaking, an open heart surgery is any procedure where the chest is opened, which certainly includes procedures beyond a heart bypass (a valve replacement, for example). However, because a heart bypass is the most common type of open heart surgery, for the purposes of this article, we will be using the terms bypass and open heart surgery interchangeably. Pneumonia Biggest Problem Following Heart Surgery. You would think that the deep incisions from open heart surgery and the large wound it leaves, including cutting into chest bones etc. would be.

How to Avoid Dangerous Infections After Your Heart Surgery

Wound infection after appendectomy for perforative or gangrenous appendicitis is four to five times higher than for early disease. A prospective study of nonperforated appendicitis, using a logistic regression analysis of risk factors, showed that the risk for postoperative infection is related to lack of perioperative antibiotic prophylaxis. While infections of an incision or the urinary tract are some of the most common infections after having surgery, it is also possible to have pneumonia, a serious lung infection. Surgery patients are at a higher risk than the average person to develop pneumonia, so the development of a cough in the days following the procedure should not be. Deep sternal wound infection occurs in 1% to 4% of patients after bypass surgery and carries a mortality of ≈25%. Predictors of this complication include obesity, reoperation, use of both internal mammary arteries at surgery, duration and complexity of surgery, and diabetes

—Three patients with clinically significant sternal nonunion after coronary artery bypass grafting associated with clinical sternal instability that required subsequent surgical repair. Three-dimensional volume-rendered CT scan of 65-year-old man obtained 2 months after surgery shows sternal nonunion B. Miller Getting plenty of rest after surgery may help manage inflammation issues. Some amount of inflammation after surgery is normal and expected, and your doctor should give you some tips for caring for your incision, and reducing swelling. Always follow these tips and ask your doctor if you want to try anything else to make sure it is not dangerous Fluid Overload after Coronary Artery Bypass Grafting Surgery Increases the Incidence of Post-Operative Complications cardiomegaly on chest x-ray and chest x-ray compatible with interstitial edema. wound infection, arm wound infection and superficial sternal wound infection). The median hospital length o

Muscle flap coverage of sternal wound infections

infection after coronary bypass surgery 13 Types of sternal wound infection in all CABG patients 59 skeletonization involves the dissection of the LIMA solely away from the chest A postoperative wound infection occurs in the tissues of an incision or operative area at any point from one day to many years after a surgical procedure. However, it most commonly occurs between five and 10 days after surgery. From an ICD-9-CM coding perspective, there is no time limitation regarding the assignment of a complication code.. Three months after his heart bypass surgery at Greenville Memorial Hospital in South Carolina, 74-year-old Henry Weinacker found himself back in a hospital exam room with a bad fever

A chest wound infection. This is more likely to happen if you are obese, have diabetes, or have had coronary bypass surgery in the past. Low-grade fever and chest pain (together called postpericardiotomy syndrome), which can last up to 6 months Aortofemoral bypass surgery may also be needed after a kidney transplant to improve the blood flow to the new kidney. Deep breathing and coughing helps keep you from getting a lung infection after surgery. Deep breathing opens the airways going to your lungs. You have chest pain or trouble breathing that is getting worse over time The diagnosis of postsurgical mediastinitis (PSM) among patients with sternal wound complication (SWC) after cardiac surgery is sometimes difficult, as fever, elevated C-reactive protein levels, and chest pain can be caused by a general inflammatory reaction to the operative trauma and/or sternal dehiscence without infection. The definitions of PSM usually used emphasize clinical signs and.

Heart bypass surgery is an open-heart surgery and the heart needs to be exposed. In the case of bypass surgery this is done by sawing through the breastbone in a technique known as median sternotomy. A specially designed electric saw is used for this. A median sternotomy is demonstrated in the next image. Once the bone is cut, small bleeders. For diabetic patients who need coronary bypass surgery, Wound infection risk. The grafts started to narrow or close about a decade after surgery. The use of an artery from the chest, the.

Although deep sternal infection occurs infrequently after CABG surgery (reported in 1%-4% of patients), it carries a significant mortality rate of nearly 25% (, 38 39). Risk factors that have been specifically linked to the development of sternal wound infections include obesity, diabetes mellitus, current cigarette smoking, and steroid. After a median sternotomy for open heart surgery, 1%-3% of patients develop deep infection and dehiscence of the sternal wound, some of which will eventually require reconstructive surgery Reddening around your chest wound or bleeding or other discharge from your chest wound; Expect a recovery period of about six to 12 weeks. If you have your doctor's OK, you can return to work, begin exercising and resume sexual activity after four to six weeks. Results. After surgery, most people feel better and might remain symptom-free for as.

Quality-improvement initiative: Classifying and

Healing of your sternum after open heart surgery

Hospitals should consider notifying patients in writing if they were exposed to the Stöckert 3T devices during open-chest cardiac surgery after January 1, 2012. Hospitals that did not use the Stöckert 3T device during this entire time period should adjust the patient notification timeframe accordingly Sternal dehiscence is the process of separation of the bony sternum, which often is accompanied by mediastinitis (infection of the deep soft tissues). In thoracic and trunk reconstruction, plastic surgeons play a crucial role in addressing wound healing issues and reconstructive techniques of the chest wall Minimally invasive heart bypass surgery is done without stopping the heart and putting the patient on a heart-lung machine. A 3 to 5 inch (8 to 13 cm) incision is made in the left part of the chest between the ribs. This incision is much less traumatic than the traditional heart bypass surgery incision which separates the breast bone Video-assisted thoracoscopic surgery. Robotic lung surgery. Liberty Hospital offers a trained surgical team for robotic lung surgery using the da Vinci Surgical System. Benefits of this minimally invasive surgery include: Reduced chest tube duration. Lower risk of complications and wound infections. Less blood loss. Less pain. Shorter hospital. Minimally-invasive coronary artery bypass surgery, also known as beating-heart surgery, is a less invasive alternative to coronary artery bypass graft surgery (CABG). Minimally invasive bypass surgery can improve blood flow to the heart without the potential complications, necessity of using of the heart-lung bypass machine and extended.

Sternotomy: Overview, Preparation, TechniqueSternum Healing, Wires & Infection After Heart SurgeryCOCHIN CARDIAC CLUB: CORONARY ANGIOPLASTY AND BYPASS SURGERY

A chest wound infection. This is more likely to happen if you are obese, have diabetes, or have had coronary bypass surgery in the past. Low-grade fever and chest pain (together called postpericardiotomy syndrome), which can last up to 6 months. Pain at the site of the cut What Post-Operative Care is needed at the Healthcare Facility after the Aorta-Iliac Bypass Graft Surgery surgical procedure? The following post-operative care is needed at the out-patient facility: The patient is usually placed in an intensive care unit, for 1-2 days, for immediate post-operative car Of all surgical procedures requiring a sternotomy, coronary bypass surgery is certainly the most common one.During coronary bypass surgery, a median sternotomy is performed by making a vertical incision in the middle of the sternum (breastbone), in order to open the chest cavity and access coronary arteries