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

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Permeable Nonabsorbable Mesh for Total Diaphragmatic Replacement in Extended Pneumonectomy Luigi Rolli, MD, Giovanni Leuzzi, MD, Paolo Girotti, MD, Leonardo Duranti, PhD, Ugo Pastorino, MD The Annals of Thoracic Surgery Volume 104, Issue 1, Pages e105-e107 (July 2017) DOI: 10.1016/j.athoracsur.2017.02.077 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A 48-year-old man, who was a nonsmoker, affected by B2-B3 thymoma with lung, pleural, and superior vena cava involvement, underwent right extra-pleuropneumonectomy with concomitant pericardial and diaphragmatic reconstruction. (A) Preoperative computed tomography scan. (B) Intraoperative findings show the L-shape molded prosthesis covering the diaphragm and pericardium (black asterisk) and the superior vena cava prosthesis (yellow asterisk). (C) The postoperative computed tomography scan at 6 months, with the red arrows indicating the diaphragmatic and pericardial reconstruction. The Annals of Thoracic Surgery 2017 104, e105-e107DOI: (10.1016/j.athoracsur.2017.02.077) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A 13-year-old boy affected by a large Ewing sarcoma underwent left thoracopleuropneumonectomy (TPP). (A) Preoperative computed tomography scan. (B) The postoperative computed tomography scan at 6 months, with the red arrows indicating diaphragmatic reconstruction and extension. (C) Intraoperative findings after TPP. (D) Rib-like prosthesis apposition (black asterisk), diaphragmatic reconstruction (yellow asterisk), and pericardial reconstruction with Vicryl (Ethicon, Somerville, NJ]; white asterisk). The Annals of Thoracic Surgery 2017 104, e105-e107DOI: (10.1016/j.athoracsur.2017.02.077) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions