Arena roof technique for complex reconstruction after extensive chest wall resection

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Extensive primary resections or redos may produce significant chest wall defects requiring creative reconstructions in order to avoid reduction of the intrathoracic volume. We describe the successful use of an innovative technique for chest wall reconstruction based on the concept of roof coverage of sport arenas. In fact, titanium plates are anchored to the residual rib stumps along the parasternal and paravertebral lines. The acellular collagen matrix prosthesis was sutured to the free edges of the same titanium plates to create a roof, reproducing the chest wall dome geometric configuration. A 36-year-old female patient was diagnosed with an extensive desmoid tumor involving the lateral segments of second to fifth ribs on the right side. The arena roof technique allowed for adequate expansion of the uninvolved lung and optimal chest wall functional recovery.

Original languageEnglish
Pages (from-to)1479-1481
Number of pages3
JournalAnnals of Thoracic Surgery
Volume100
Issue number4
DOIs
Publication statusPublished - 2015

Fingerprint

Thoracic Wall
Ribs
Titanium
Aggressive Fibromatosis
Prostheses and Implants
Sports
Collagen
Lung
Neoplasms

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

Cite this

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title = "Arena roof technique for complex reconstruction after extensive chest wall resection",
abstract = "Extensive primary resections or redos may produce significant chest wall defects requiring creative reconstructions in order to avoid reduction of the intrathoracic volume. We describe the successful use of an innovative technique for chest wall reconstruction based on the concept of roof coverage of sport arenas. In fact, titanium plates are anchored to the residual rib stumps along the parasternal and paravertebral lines. The acellular collagen matrix prosthesis was sutured to the free edges of the same titanium plates to create a roof, reproducing the chest wall dome geometric configuration. A 36-year-old female patient was diagnosed with an extensive desmoid tumor involving the lateral segments of second to fifth ribs on the right side. The arena roof technique allowed for adequate expansion of the uninvolved lung and optimal chest wall functional recovery.",
author = "Gaetano Rocco and {La Rocca}, Antonello and {La Manna}, Carmine and Nicola Martucci and {De Luca}, Giuseppe and Rosanna Accardo",
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T1 - Arena roof technique for complex reconstruction after extensive chest wall resection

AU - Rocco, Gaetano

AU - La Rocca, Antonello

AU - La Manna, Carmine

AU - Martucci, Nicola

AU - De Luca, Giuseppe

AU - Accardo, Rosanna

PY - 2015

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AB - Extensive primary resections or redos may produce significant chest wall defects requiring creative reconstructions in order to avoid reduction of the intrathoracic volume. We describe the successful use of an innovative technique for chest wall reconstruction based on the concept of roof coverage of sport arenas. In fact, titanium plates are anchored to the residual rib stumps along the parasternal and paravertebral lines. The acellular collagen matrix prosthesis was sutured to the free edges of the same titanium plates to create a roof, reproducing the chest wall dome geometric configuration. A 36-year-old female patient was diagnosed with an extensive desmoid tumor involving the lateral segments of second to fifth ribs on the right side. The arena roof technique allowed for adequate expansion of the uninvolved lung and optimal chest wall functional recovery.

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