Functional Chest Wall Reconstruction With a Biomechanical Three-Dimensionally Printed Implant Javier Moradiellos, MD, Sergio Amor, MD, Mar Córdoba, MD,

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Functional Chest Wall Reconstruction With a Biomechanical Three-Dimensionally Printed Implant Javier Moradiellos, MD, Sergio Amor, MD, Mar Córdoba, MD, Gaetano Rocco, MD, Mercedes Vidal, MD, Andrés Varela, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 4, Pages e389-e391 (April 2017) DOI: 10.1016/j.athoracsur.2016.11.048 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Axial CT showing sternal infiltration. (B) Coronal CT showing local extension and cardiac compression. (C) Planned resection area over three-dimensional CT reconstruction. (D) Final implant design over patient three-dimensional CT reconstruction showing the “Greek-wave” pattern. The Annals of Thoracic Surgery 2017 103, e389-e391DOI: (10.1016/j.athoracsur.2016.11.048) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Three-dimensionally printed titanium implant fitted with distal jaws. (B) Fixed implant over ePTFE right “neopleura”. The Annals of Thoracic Surgery 2017 103, e389-e391DOI: (10.1016/j.athoracsur.2016.11.048) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Snapshot from dynamic three-dimensional CT video during respiratory cycle, 6 months after surgery. The Annals of Thoracic Surgery 2017 103, e389-e391DOI: (10.1016/j.athoracsur.2016.11.048) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions