Stanizzi Antonio, Torresetti Matteo, Salati Michele, Benedetto Giovanni Di
Clinic of Plastic and Reconstructive Surgery, Department of Experimental and Clinical Medicine, Marche Polytechnic University Medical School, Ancona, Italy.
Division of Thoracic Surgery, Ospedali Riuniti di Ancona, via Conca 71, 60126, Ancona Italy.
JPRAS Open. 2021 Feb 7;28:56-60. doi: 10.1016/j.jpra.2021.01.012. eCollection 2021 Jun.
Lung hernia following minimally invasive cardiac surgery is rare with few reported cases in the literature. Surgical repair is debated, and several methods have been described including a variety of synthetic and biological materials. We report a case of a 36-year-old woman who developed lung hernia and a strong retraction of the pectoralis major muscle after minithoracotomy that was performed for mitral valve surgery. The herniated lung was reduced and the chest wall defect was repaired with a non-cross linked acellular dermal matrix (ADM) anchored to the thoracic wall. At a 6-year follow-up, she was asymptomatic and without recurrence of the hernia. Our experience suggests that ADMs are a safe and reliable surgical technique for lung hernia repair due to their biological and mechanical properties, even in those secondary hernias to minithoracotomy where a complete muscle coverage of the matrix could not be provided.
微创心脏手术后发生肺疝较为罕见，文献报道的病例很少。手术修复存在争议，已经描述了几种方法，包括各种合成材料和生物材料。我们报告一例36岁女性，在为二尖瓣手术进行的小切口开胸术后出现肺疝和胸大肌强烈回缩。将疝出的肺回纳，并使用固定于胸壁的非交联脱细胞真皮基质（ADM）修复胸壁缺损。在6年的随访中，她没有症状，肺疝也未复发。我们的经验表明，由于ADM的生物学和力学特性，它是一种安全可靠的肺疝修复手术技术，即使在因小切口开胸导致的继发性肺疝中，无法对基质进行完全的肌肉覆盖时也是如此。
