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Case report
Lower third chest wall reconstruction in a bilateral sequential lung transplant recipient
  1. Pennylouise Hever1,
  2. Prateush Singh1,
  3. Dariush Nikkhah1 and
  4. Vladimir Anikin2,3
  1. 1Plastics and Reconstructive Surgery, Royal Free London NHS Foundation Trust, London, London, UK
  2. 2Thoracic Surgery, Harefield Hospital, Middlesex, UK
  3. 3Department of Oncology and Reconstructive Surgery, I M Sechenov First Moscow State Medical University, Moskva, Moskva, Russian Federation
  1. Correspondence to Pennylouise Hever; phever{at}nhs.net

Abstract

Reconstruction of the sternum following deep sternal wound infection (DSWI) can be challenging, and despite advances in reconstructive surgery, DSWI remains a significant cause of morbidity and mortality in cardiothoracic patients. Transplantation patients present an additional, unique challenge for the reconstructive surgeon. These patients are often on immunosuppressant therapy, with multiple comorbidities, and cannot tolerate prolonged operations for reconstruction. They often have a prior extensive surgical history, which may limit donor options; and their wounds are often in the lower third of the sternum, which is a challenging location to reconstruct with locoregional tissues.

We report a case of successful lower third chest wall reconstruction in a bilateral lung transplant recipient with a combination of bilateral pectoralis advancement flaps and omentoplasty.

  • cardiothoracic surgery
  • plastic and reconstructive surgery
  • transplantation
  • cystic fibrosis

https://doi.org/10.1136/bcr-2020-238998

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    Footnotes

    • Contributors All the above listed authors have contributed equally to the writing of this paper. Author 1 was responsible for the first draft and revisions in response to the journal request. Author 2 reviewed the first draft, and made edits. Authors 3 and 4 were senior authors, providing details for the case, and approving the final draft for submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.