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

Published byDebra Price Modified over 5 years ago

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Presentation on theme: "Safety and Effectiveness of Cadaveric Allograft Sternochondral Replacement After Sternectomy: A New Tool for the Reconstruction of Anterior Chest Wall "— Presentation transcript:

1 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 (March 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 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  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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