Ricerca avanzata

Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 1998 Dicembre;39(6) > The Journal of Cardiovascular Surgery 1998 Dicembre;39(6):853-7

FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

 

The Journal of Cardiovascular Surgery 1998 Dicembre;39(6):853-7

THORACIC PAPERS 

 CASE REPORTS

Allo­plastic ­sternal replace­ment in malig­nant ­sternal ­tumors. Case ­report and ­review of the lit­er­a­ture

Meyer M., Neef H., Zerkowski H. R.

From the ­Clinic of ­Cardio-Tho­racic Sur­gery Martin ­Luther Uni­ver­sity Halle-Wit­ten­berg, Ger­many

Although not ­seldom as a pal­li­a­tive pro­ce­dure, the pre­ferred treat­ment of ­locally recur­rent ­breast ­cancer or ­chest ­wall involve­ment by metas­tases is ­full-thick­ness ­chest ­wall resec­tion. For clo­sure and ­coverage of the ­defect var­ious tech­niques are ­described. Auto­plastic recon­struc­tion is indi­cated for ­smaller ­defects, ­while ­larger ­defects usu­ally ­require allo­plastic mate­rials, espe­cially in ­case of ­chest ­instability ­after resec­tion. We ­report the ­case of a 55-­year-old ­female who devel­oped a ­locally recur­rent ­breast ­cancer ­with infil­tra­tion of the ­sternum 4 ­years ­after ­left ­sided abla­tion. En ­bloc resec­tion of the ­chest ­wall ­including the com­plete ­sternum was fol­lowed by replace­ment ­with a com­puter-­aided ­custom ­made poly­eth­y­lene ­sternal pros­thesis. ­With ­this pro­ce­dure we sta­bi­lized the ­chest ­wall ­with pro­tec­tion of the under­lying ­organs, ­avoided pro­longed post­op­er­a­tive ven­ti­la­tion and ­achieved a sat­is­fying cos­metic ­result.

lingua: Inglese


FULL TEXT  ESTRATTI

inizio pagina