Safety and Effectiveness of Cadaveric Allograft Sternochondral Replacement After Sternectomy: A New Tool for the Reconstruction of Anterior Chest Wall

Slides:

Advertisements

Similar presentations

Pleural Partition With Intrathoracic Muscle Transposition (Muscle Tent) To Manage Residual Spaces After Subtotal Pulmonary Resections Gaetano Rocco,

Advertisements

Woo Sung Jang, MD, PhD, Woong-Han Kim, MD, PhD, Sungkyu Cho, MD

Cornelis G. Vos, MD, Koen J. Hartemink, MD, Tim U

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

Bharat Pancholy, MD, Jai Raman, MD, PhD The Annals of Thoracic Surgery

Manuel Caceres, MD, David E. Halpern, MD, Robert L. Hooker, MD

Rana O. Afifi, MD, Harith H. Mushtaq, MD, Harleen K

Michael Kalina, DO, Frederick Giberson, MD

Bilateral Double Free-Flaps for Reconstruction of Extensive Chest Wall Defect Emre Gazyakan, MD, Holger Engel, MD, Marcus Lehnhardt, MD, PhD, Michael.

Thymic Flap for Bronchial Stump Reinforcement After Lobectomy

Andranik Petrosyan, MD, Patrice Bergeron, MD

Radio-Guided Localization and Resection of Small or Ill-Defined Pulmonary Lesions Domenico Galetta, MD, PhD, Massimo Bellomi, MD, Chiara Grana, MD, Lorenzo.

Combined Free Vascularized Iliac Osteocutaneous Flap and Pedicled Pectoralis Major Myocutaneous Flap for Reconstruction of Anterior Chest Wall Full-Thickness.

Bart P. Van Putte, MD, PhD, Tim Smith, MD, PhD, Thom L

The Use of Biomaterials for Chest Wall Reconstruction 30 Years After Radical Surgery and Radiation Gaetano Rocco, MD, FRCSEd, Stefano Mori, MD, Flavio.

Modified Tikhoff-Linberg Procedure for Posterior Chest Wall Sarcoma

Rupture of Thoracoabdominal Aortic Aneurysm Associated with Behcet’s Disease Nobuhiro Umehara, MD, Satoshi Saito, MD, Hikaru Ishii, MD, Shigeyuki Aomi,

Upgrading Redo Coronary Artery Bypass Graft by Recycling In Situ Arterial Graft Masahiro Dohi, MD, Kiyoshi Doi, MD, PhD, Kazunari Okawa, MD, Hitoshi Yaku,

Simplified Carinal Wedge Resection and Reconstruction

Rare Combination of Dextrocardia With Right-Sided Poland Syndrome

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H

Complete Resection is Mandatory for Tubercular Cold Abscess of the Chest Wall Young Tae Kim, MD, PhD, Kook Nam Han, MD, Chang Hyun Kang, MD, PhD, Sook.

Reply The Annals of Thoracic Surgery

Colleen B. Gaughan, MD, Dao Nguyen, MD, Marco Ricci, MD

Surgical Repair of Long-Segment Cervical Esophageal Injury With a Sternocleidomastoid Myocutaneous Flap Juan A. Sanchez, MD, Lucian Panait, MD The Annals.

Cecilia Marcacci, MD, Matteo Trezzi, MD, Gilles D. Dreyfus, MD, FRCS

Surgical Resection of a Giant Coronary Aneurysm

Christopher W. Seder, MD, Bassem T. Elhassan, MD, Dennis A

Complex Repair of Pectus Excavatum Recurrence and Massive Chest Wall Defect and Lung Herniation After Prior Open Repair Dawn Jaroszewski, MD, Kevin Johnson,

Aaron H. Healy, MD, Bruce B. Reid, MD, Bryce D. Allred, MD, John R

A New Option for Autologous Anterior Chest Wall Reconstruction: The Composite Thoracodorsal Artery Perforator Flap Sandy Dast, MD, Pascal Berna, MD,

Joseph D. Whitlark, MD, RVT, Joseph A. Kirollos, Spencer M

Yong Wang, MD, Xiaomei Zheng, MD, Kexiang Liu, PhD

Woo Sung Jang, MD, PhD, Woong-Han Kim, MD, PhD, Sungkyu Cho, MD

Thoracic aorta endograft as an adjunct to resection of a locally invasive tumor: A new indication to endograft Giuseppe Marulli, MD, Sandro Lepidi, MD,

Extrapleural Pneumonectomy With Reconstruction of Diaphragm and Pericardium Using Autologous Materials Hironori Kobayashi, MD, PhD, Hiroaki Nomori, MD,

Tafadzwa P. Makarawo, MD, MRCS, Richard A. Reynolds, MD, Marc L

Chronic Expanding Hematoma in Sternum Resected 5 Years After Median Sternotomy Susumu Kunisawa, MD, Shinji Kosaka, MD, Tadashi Matsukura, MD, Takashi.

Titanium Plates and Dualmesh: A Modern Combination for Reconstructing Very Large Chest Wall Defects Jean Philippe Berthet, MD, Ludovic Canaud, MD, Thomas.

Abel Gómez-Caro, MD, Pedro Arguis, MD The Annals of Thoracic Surgery

The “Rib-Like” Technique for Surgical Treatment of Sternal Tumors: Lessons Learned From 101 Consecutive Cases Paolo Girotti, MD, Francesco Leo, MD, PhD,

Accessory Liver Lobe in the Left Thoracic Cavity

Ömer Özkan, MD, Özlenen Özkan, MD, Matteo Amoroso, MD

Metachronous Lung Cancer After Pleurectomy/Decortication

Chest Wall Reconstruction Using a Methyl Methacrylate Neo-Rib and Mesh

Permeable Nonabsorbable Mesh for Total Diaphragmatic Replacement in Extended Pneumonectomy Luigi Rolli, MD, Giovanni Leuzzi, MD, Paolo Girotti, MD, Leonardo.

Treatment of Empyema and Bronchopleural Fistula by Bovine Pericardium and Latissimus Flap Yuan-Ming Tsai, MD, Shao-Liang Chen, MD, Chih-Ming Hsieh, MD,

Postoperative Pleural Effusion in Bronchioloalveolar Cancer

Congenital Absence of One Pulmonary Valve Cusp With Other Hypoplastic Cusps Sachiko Yamazaki, MD, Masaaki Yamagishi, MD, PhD, Kouichi Nishida, MD, Satoshi.

Intrathoracic Multiple Schwannomas of a Single Intercostal Nerve

Tracheal Reconstruction in the Pediatric Population: How I Teach It

Sternal Metastasis of Breast Cancer: Ex Vivo Hypothermia and Reimplantation Moisés Rosenberg, PhD, Aldo Castagno, MD, Jorge Nadal, MD, Adolfo Rosales,

Ascending Aortic Pseudoaneurysm as an Unusual Cause of Superior Vena Cava Syndrome Zhiqi Zhang, MD, Kanhua Yin, MD, Yongxin Sun, MD, PhD, Chunsheng Wang,

Transthoracic Esophagectomy Using Endobronchial Blocker After Previous Pneumonectomy Haifeng Wang, MD, Ji Liu, MD, Chao Jiang, MD, Ming Liu, MD, Gening.

Mediastinal Parathyroid Adenoma

Veno-Venous Extracorporeal Membrane Oxygenation in Surgery for Bronchial Repair Pekka Korvenoja, MD, Otto Pitkänen, MD, PhD, Ensio Berg, MD, Leena Berg,

Small and Large Bowel Hernia Migrated Into the Chest 6 Years After Sternal Resection Andrea Billè, MD, Paolo Scanagatta, MD, Mara Gisabella, MD, Giuseppina.

Allograft sternochondral replacement after resection of large sternal chondrosarcoma Giuseppe Marulli, MD, Abdel-Mohsen Hamad, MD, Elisa Cogliati, MD,

Atsushi Sano, MD, PhD, Takuma Yotsumoto, MD

Substernal Colonic Interposition After Previous Coronary Artery Bypass Graft in a Patient With a Patent Left Internal Thoracic Artery Graft: A Surgical.

Intraoperative Pneumothorax Presenting as Abdominal Distention

Beware of the Aberrant Innominate Artery

A New Classification for Right Top Pulmonary Vein

Structural Allograft Implantation for Thoracic Spinal Impalement

Kazuhiro Sakamoto, MD, PhD, Kohei Ando, MD, Daisuke Noma, MD

Reconstruction of the Lower Trachea Using a Pedicled Autologous Bronchial Flap Qian-kun Chen, MD, Ge-ning Jiang, MD, Jia-an Ding, MD, Wen-pu Tong, MD,

Radical Carinal Resection for a Glomic Tumor

Use of Baclofen in the Treatment of Esophageal Stent-Related Hiccups

Multiple-Running Suture Technique for Bronchial Anastomosis in Difficult Sleeve Resection Abdel-Mohsen Hamad, MD, Giuseppe Marulli, MD, Giovanna Rizzardi,

Presentation transcript:

Safety and Effectiveness of Cadaveric Allograft Sternochondral Replacement After Sternectomy: A New Tool for the Reconstruction of Anterior Chest Wall Giuseppe Marulli, MD, PhD, Andrea Dell’amore, MD, Francesca Calabrese, MD, Marco Schiavon, MD, PhD, Niccolò Daddi, MD, PhD, Giampiero Dolci, MD, Franco Stella, MD, Federico Rea, MD The Annals of Thoracic Surgery Volume 103, Issue 3, Pages 898-905 (March 2017) DOI: 10.1016/j.athoracsur.2016.08.093 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative view of (A) upper sternectomy with middle clavicular resection, (B) upper sternectomy with prosthetic replacement of superior vena cava system, and (C) lower sternectomy with preservation of the manubrium. The Annals of Thoracic Surgery 2017 103, 898-905DOI: (10.1016/j.athoracsur.2016.08.093) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Cadaveric allograft after defrosting in a 0.9% sodium chloride solution with antibiotics. (B) The sternum allograft, (C) cut and tailored to perfectly fit the chest wall defect. The Annals of Thoracic Surgery 2017 103, 898-905DOI: (10.1016/j.athoracsur.2016.08.093) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative view of (A, B) sternum allograft fixed with titanium plates and screws, (C) allograft fixed to the clavicles with intramedullary nails (white arrows), and (D) latissimus dorsi muscle flap prepared to cover the graft. The Annals of Thoracic Surgery 2017 103, 898-905DOI: (10.1016/j.athoracsur.2016.08.093) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A–C) Postoperative three-dimensional chest computed tomography scans showing different types of chest wall reconstruction, and (D) chest computed tomography scan showing dislocation of a clavicular screw (red arrow). The Annals of Thoracic Surgery 2017 103, 898-905DOI: (10.1016/j.athoracsur.2016.08.093) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions