title: Delayed Chest Closure With Skin Approximation After Lung Transplant in Oversized Graft.
abstract: Closure of the chest after lung transplant in cases of oversized grafts is often difficult. Lung volume reduction and delayed closure of the chest with Bogota bag are the only options available in such situations. Here, we propose to keep the sternum and intercostal spaces open and approximate skin over it. Once lung function improves and reperfusion-related edema recovers, the chest can be closed.
authors.affiliation: From the Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, Harefield, London, United Kingdom.
authors.forename: Prashant N
authors.initials: PN
authors.lastname: Mohite
authors.forename: Anton
authors.initials: A
authors.lastname: Sabashnikov
authors.forename: Aron-Frederik
authors.initials: AF
authors.lastname: Popov
authors.forename: Mohamed
authors.initials: M
authors.lastname: Zeriouh
authors.forename: Javid
authors.initials: J
authors.lastname: Fatullayev
authors.forename: Massimo
authors.initials: M
authors.lastname: Capoccia
authors.forename: Mohamed
authors.initials: M
authors.lastname: Amrani
authors.forename: Martin
authors.initials: M
authors.lastname: Carby
authors.forename: André R
authors.initials: AR
authors.lastname: Simon
mesh_terms: D064591:Allografts; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D056346:Sternotomy; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome; D058106:Wound Closure Techniques; D014945:Wound Healing; D055815:Young Adult