Sternal Elevation by Crane Technique During Double Lung Transplant for Patient With Pectus Excavatum

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Abstract

We present the case of a 28-year-old female patient who underwent a bilateral lung transplantation for underlying terminal bronchopulmonary dysplasia. The peroperative access to the hilum of the right lung was significantly compromised due to the presence of a pectus excavatum (Haller index 11). We used a wired sternal crane technique to elevate the sternum and gain exposure. Release of the crane after implantation went smoothly, as did the postoperative recovery. This report illustrates the feasibility of this technique during lung transplantation.

在为胸大肌患者进行双肺移植时利用起重机技术抬高胸骨
我们报告了一例28岁女性患者的病例,她因潜在的终末期支气管肺发育不良而接受了双侧肺移植手术。由于患者存在开胸肌(Haller 指数为 11),围手术期右肺肺门的通路受到严重影响。我们使用有线胸骨吊臂技术抬高胸骨并获得暴露。植入后松开吊臂和术后恢复都很顺利。本报告说明了这种技术在肺移植手术中的可行性。
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