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Successful three-year outcome in a patient with allogenous sternal bone graft in the treatment of massive post-sternotomy defects.

Kaláb M, Karkoška J, Kamínek M, Šantavý P - Int J Surg Case Rep (2014)

Bottom Line: We describe the successful healing of the graft with the reduction of defects in osteoblastic activity by 42% 21 months after the graft implantation.The wound was found to be healed on all examinations, The chest wall is stable and the patient reports a good life quality.Transplantation of allogenous bone graft sternum in our experience is the best option for treating extensive post-sternotomy defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiosurgery, University Hospital Olomouc and Faculty of Medicine, Palacky University Olomouc, I. P. Pavlova 6, Olomouc 775 20, Czech Republic. Electronic address: martin1.kalab@gmail.com.

No MeSH data available.


Related in: MedlinePlus

(A) Planar anterior whole-body (left) and SPECT (right) images 2 months after graft implantation. Central photon-deficient area with surrounding tracer uptake. (B) Check examination 21 months after graft implantation–improvement of tracer uptake (full in manubrium sterni, partially in corpus sterni). (C) Quantitatively 21 months after. A photon-deficient area measured as a region of interest (ROI) reduced to 58%.
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fig0010: (A) Planar anterior whole-body (left) and SPECT (right) images 2 months after graft implantation. Central photon-deficient area with surrounding tracer uptake. (B) Check examination 21 months after graft implantation–improvement of tracer uptake (full in manubrium sterni, partially in corpus sterni). (C) Quantitatively 21 months after. A photon-deficient area measured as a region of interest (ROI) reduced to 58%.

Mentions: Planar anterior whole-body (left view in Fig. 2A,B,C) and SPECT (right view in Fig. 2A,B,C) images performed 3 months after graft implantation, showed a central photon-deficient area with surrounding tracer uptake (Fig. 2A). Images obtained 21 months after surgery showed improvement of tracer uptake to the full within the sternal manubrium, and partial uptake in the sternal corpus (Fig. 2B). Quantitatively, a photon-deficient area measured as a region of interest (ROI) reduced to 58% - from 1440 mm2 to 835 mm2 (Fig. 2C).


Successful three-year outcome in a patient with allogenous sternal bone graft in the treatment of massive post-sternotomy defects.

Kaláb M, Karkoška J, Kamínek M, Šantavý P - Int J Surg Case Rep (2014)

(A) Planar anterior whole-body (left) and SPECT (right) images 2 months after graft implantation. Central photon-deficient area with surrounding tracer uptake. (B) Check examination 21 months after graft implantation–improvement of tracer uptake (full in manubrium sterni, partially in corpus sterni). (C) Quantitatively 21 months after. A photon-deficient area measured as a region of interest (ROI) reduced to 58%.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4336405&req=5

fig0010: (A) Planar anterior whole-body (left) and SPECT (right) images 2 months after graft implantation. Central photon-deficient area with surrounding tracer uptake. (B) Check examination 21 months after graft implantation–improvement of tracer uptake (full in manubrium sterni, partially in corpus sterni). (C) Quantitatively 21 months after. A photon-deficient area measured as a region of interest (ROI) reduced to 58%.
Mentions: Planar anterior whole-body (left view in Fig. 2A,B,C) and SPECT (right view in Fig. 2A,B,C) images performed 3 months after graft implantation, showed a central photon-deficient area with surrounding tracer uptake (Fig. 2A). Images obtained 21 months after surgery showed improvement of tracer uptake to the full within the sternal manubrium, and partial uptake in the sternal corpus (Fig. 2B). Quantitatively, a photon-deficient area measured as a region of interest (ROI) reduced to 58% - from 1440 mm2 to 835 mm2 (Fig. 2C).

Bottom Line: We describe the successful healing of the graft with the reduction of defects in osteoblastic activity by 42% 21 months after the graft implantation.The wound was found to be healed on all examinations, The chest wall is stable and the patient reports a good life quality.Transplantation of allogenous bone graft sternum in our experience is the best option for treating extensive post-sternotomy defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiosurgery, University Hospital Olomouc and Faculty of Medicine, Palacky University Olomouc, I. P. Pavlova 6, Olomouc 775 20, Czech Republic. Electronic address: martin1.kalab@gmail.com.

No MeSH data available.


Related in: MedlinePlus