J Chest Surg.
2024 Mar;57(2):213-216. 10.5090/jcs.23.099.
Novel Repair of Clamshell Thoracotomy Sternal Dehiscence after Lung Transplant: A Case Report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Division of Thoracic Surgery, Cleveland Clinic, Cleveland, OH, USA
- KMID: 2553685
- DOI: http://doi.org/10.5090/jcs.23.099
Abstract
- Bilateral transverse thoracosternotomy, or “clamshell” thoracotomy, can be complicated by dehiscence. A 65-year-old male underwent lung transplantation via clamshell thoracotomy, with subsequent sternal dehiscence on postoperative day 11. Upon repair, the previous sternal wires had pulled through, so a Sternal Talon connected to a Recon Talon was utilized to re-approximate the inferior sternum. On follow-up at 3 months, the patient recovered well. Use of the Sternal Talon provides an effective technique for repairing transverse sternal dehiscence.
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