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Porcine dermal collagen (permacol) for sternal reconstruction.

Lee KH, Kim KT, Son HS, Jung JS, Cho JH - Korean J Thorac Cardiovasc Surg (2013)

Bottom Line: In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity.The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles.Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Korea.

ABSTRACT
In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity. We report a case of a 63-year-old male with a large invasive thymic carcinoma in the anterior mediastinum. The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles. The patient underwent subtotal sternectomy, radical thymectomy, and reconstruction with biological mesh (Permacol). Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

No MeSH data available.


Related in: MedlinePlus

Chest computed tomography shows an anterior mediastinal mass invading chest wall and costal cartilage, abutting the aortic arch and parietal pericardium.
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Figure 1: Chest computed tomography shows an anterior mediastinal mass invading chest wall and costal cartilage, abutting the aortic arch and parietal pericardium.

Mentions: A 63-year-old male visited the hospital for chest pain. A simple chest radiologic examination suggested an anterior mediastinum tumor. Other than the chest pain, the patient did not show myasthenia gravis or any other notable symptoms on physical examination. A chest computed tomography (CT) showed a 6.8 cm tumor at the anterior mediastinum (Fig. 1). The tumor seemed to cover the left innominate vein and invade the thoracic wall. This tumor had invaded the sternum, left side of the parasternal area, ribs, and intercostal muscles. Based on the positron emission tomography--CT results, hypermetabolic uptake lesions were noted at the main mass and lymph nodes of the 3rd and 4th left costal bones and paratracheal area. Accordingly, preoperative percutaneous needle biopsy was executed for the main mass, and the result came out as thymic carcinoma with the possibility of squamous cell carcinoma.


Porcine dermal collagen (permacol) for sternal reconstruction.

Lee KH, Kim KT, Son HS, Jung JS, Cho JH - Korean J Thorac Cardiovasc Surg (2013)

Chest computed tomography shows an anterior mediastinal mass invading chest wall and costal cartilage, abutting the aortic arch and parietal pericardium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3756168&req=5

Figure 1: Chest computed tomography shows an anterior mediastinal mass invading chest wall and costal cartilage, abutting the aortic arch and parietal pericardium.
Mentions: A 63-year-old male visited the hospital for chest pain. A simple chest radiologic examination suggested an anterior mediastinum tumor. Other than the chest pain, the patient did not show myasthenia gravis or any other notable symptoms on physical examination. A chest computed tomography (CT) showed a 6.8 cm tumor at the anterior mediastinum (Fig. 1). The tumor seemed to cover the left innominate vein and invade the thoracic wall. This tumor had invaded the sternum, left side of the parasternal area, ribs, and intercostal muscles. Based on the positron emission tomography--CT results, hypermetabolic uptake lesions were noted at the main mass and lymph nodes of the 3rd and 4th left costal bones and paratracheal area. Accordingly, preoperative percutaneous needle biopsy was executed for the main mass, and the result came out as thymic carcinoma with the possibility of squamous cell carcinoma.

Bottom Line: In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity.The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles.Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Korea.

ABSTRACT
In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity. We report a case of a 63-year-old male with a large invasive thymic carcinoma in the anterior mediastinum. The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles. The patient underwent subtotal sternectomy, radical thymectomy, and reconstruction with biological mesh (Permacol). Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

No MeSH data available.


Related in: MedlinePlus