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漏斗胸患者双肺移植术中采用克兰技术进行胸骨抬高术

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

作者信息

Binst Arizona, Jansen Yanina, Ceulemans Laurens J, Van Raemdonck Dirk, Van Veer Hans

机构信息

Department of Thoracic Surgery, University Hospital Leuven, Leuven, Belgium.

BREATHE Laboratory, Department of CHROMETA, KU Leuven, Leuven, Belgium.

出版信息

Ann Thorac Surg Short Rep. 2024 Mar 2;2(3):474-476. doi: 10.1016/j.atssr.2024.02.001. eCollection 2024 Sep.

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.

摘要

我们报告一例28岁女性患者,因潜在的终末期支气管肺发育不良接受了双侧肺移植。由于存在漏斗胸(哈勒指数11),术中对右肺门的暴露受到显著影响。我们采用钢丝胸骨吊技术抬高胸骨以获得暴露。植入后松开吊具过程顺利,术后恢复也顺利。本报告说明了该技术在肺移植中的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d27/11708460/850513d58b42/gr1.jpg

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