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Thoracoplasty in the Current Practice of Thoracic Surgery: A Single-Institution 10-Year Experience  Alessandro Stefani, MD, PhD, Rami Jouni, MD, Marco.

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Presentation on theme: "Thoracoplasty in the Current Practice of Thoracic Surgery: A Single-Institution 10-Year Experience  Alessandro Stefani, MD, PhD, Rami Jouni, MD, Marco."— Presentation transcript:

1 Thoracoplasty in the Current Practice of Thoracic Surgery: A Single-Institution 10-Year Experience 
Alessandro Stefani, MD, PhD, Rami Jouni, MD, Marco Alifano, MD, PhD, Antonio Bobbio, MD, PhD, Salvatore Strano, MD, Pierre Magdeleinat, MD, Jean-Francois Regnard, MD  The Annals of Thoracic Surgery  Volume 91, Issue 1, Pages (January 2011) DOI: /j.athoracsur Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Alexander thoracoplasty. Exposure is maintained by a chest retractor. Ribs from 1 to 4 have been resected. Periosteum, intercostal bundles, and parietal pleura have been left in place. Reprinted from Fell SC. Thoracoplasty: indications and surgical considerations. In: Shields TW, Locicero J III, Reed CE, Feins RH, eds. General thoracic surgery, 7th ed. Philadelphia: Lippincott Williams & Wilkins, 2009:814, with permission. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Chest roentgenogram after left open-window thoracostomy shows a large postpneumonectomy cavity. (B) Chest roentgenogram after successful extramusculoperiosteal thoracoplasty shows chest wall collapse and obliteration of the cavity. The degree of scoliosis is acceptable. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Computed tomographic scan of the same patient as in Figure 2 shows complete collapse of the left chest wall, after thoracoplasty right lung overexpansion, and mediastinal shift, with aortic arch (A) and heart (B) coming in contact with the parietal flap. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

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