Lateral thoracic expansion in a preterm baby with asphyxiating thoracic dystrophy

Lateral thoracic expansion is a surgical technique which consists of increasing the diameter of the thoracic rib cage by the division of ribs and underlying tissue in a staggered fashion. To our knowledge, this procedure has not yet been described in preterm babies. We report a case of a 32-week pre...

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Bibliographic Details
Published inThe Thoracic and cardiovascular surgeon Vol. 59; no. 1; p. 56
Main Authors Andrade, C F, Cardoso, P F G, Felicetti, J C
Format Journal Article
LanguageEnglish
Published Germany 01.02.2011
Subjects
Ellis-Van Creveld Syndrome - surgery
Ellis-Van Creveld Syndrome - therapy
Fatal Outcome
Female
HIV Infections
Humans
Infant, Newborn
Infant, Premature
Male
Pregnancy
Pregnancy Complications, Infectious - virology
Pregnancy Trimester, Third
Respiration, Artificial
Ribs - abnormalities
Ribs - surgery
Sternum - abnormalities
Sternum - surgery
Thoracic Surgical Procedures - methods
Thoracic Wall - abnormalities
Thoracic Wall - surgery
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Summary:Lateral thoracic expansion is a surgical technique which consists of increasing the diameter of the thoracic rib cage by the division of ribs and underlying tissue in a staggered fashion. To our knowledge, this procedure has not yet been described in preterm babies. We report a case of a 32-week preterm baby who was initially treated sequentially with resection of the costal cartilages and sternal spreading with the interposition of cartilage grafts, followed by left and right lateral thoracic expansion. The patient survived for 4 months after birth, showing that this procedure can be performed at any age after delivery.
ISSN:1439-1902
DOI:10.1055/s-2008-1038987