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 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.
Thoracic Surgery, Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil. cristianofa@cirurgiatoracica.net
C F
CF
Andrade
P F G
PF
Cardoso
J C
JC
Felicetti
D004613:Ellis-Van Creveld Syndrome / Q000601:surgery / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D015658:HIV Infections; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000821:virology*; D011263:Pregnancy Trimester, Third; D012121:Respiration, Artificial; D012272:Ribs / Q000002:abnormalities / Q000601:surgery*; D013249:Sternum / Q000002:abnormalities / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods; D035441:Thoracic Wall / Q000002:abnormalities / Q000601:surgery*