RT Journal Article
SR Electronic
T1 Lower third chest wall reconstruction in a bilateral sequential lung transplant recipient
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e238998
DO 10.1136/bcr-2020-238998
VO 14
IS 1
A1 Pennylouise Hever
A1 Prateush Singh
A1 Dariush Nikkhah
A1 Vladimir Anikin
YR 2021
UL http://casereports.bmj.com/content/14/1/e238998.abstract
AB 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.