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Three-dimensional modelling and printing in anterior chest wall reconstruction and stabilisation
  1. Jesse Romsom1 and
  2. Pieter Jan Willem Hendrik van Huijstee2
  1. 1Surgery, HagaZiekenhuis, Den Haag, Netherlands
  2. 2HagaZiekenhuis, Den Haag, Netherlands
  1. Correspondence to Mr Jesse Romsom; j.romsom{at}


Anterior chest wall instability as a result of sternocostal non-union is a rare complication but can give rise to invalidating pain and cardiac arrhythmias. A woman in her 40s was referred to us with anterior chest wall pain and instability after a modified Ravitch procedure. Sternocostal pseudoarthrosis was seen for which multiple operations were performed which were complicated by low-grade infections. A patient-specific three-dimensional modelled and printed prostheses was used in an operation to both lift the sternum for pectus correction and to reconnect the sternum and the sternal costal junction to regain anterior chest wall stability.

  • Arrhythmias
  • Cardiothoracic surgery

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: JR and PJWHvH. The following authors gave final approval of the manuscript: JR and PJWHvH.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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