PMID- 32094079
OWN - NLM
STAT- MEDLINE
DCOM- 20210505
LR  - 20210505
IS  - 1444-2892 (Electronic)
IS  - 1443-9506 (Linking)
VI  - 29
IP  - 10
DP  - 2020 Oct
TI  - Rib Cage Stabilisation With 3D-Printed Polyethylene Sternal Prosthesis 
      Post-Sternotomy Mediastinitis.
PG  - 1561-1565
LID - S1443-9506(20)30033-0 [pii]
LID - 10.1016/j.hlc.2020.01.005 [doi]
AB  - BACKGROUND: Post-sternotomy mediastinitis (PSM) is a serious complication of 
      median sternotomy. It is associated with a high mortality rate. Evidence based 
      management recommends debridement followed by closure with vascularised flaps. 
      When large areas of resections are performed, the use of sternal prosthesis could 
      be considered to ensure chest wall stability and cosmesis. METHOD: We report an 
      individualised three-dimensional (3D)-printed high-density polyethylene (HDPE) 
      sternum implantation in a patient with a 10 cm chest wall defect. RESULTS: Chest 
      wall reconstruction was uncomplicated and the patient tolerated the procedure 
      well without cardiorespiratory compromise. Postoperatively, the wound healed well 
      and the chest wall remained stable at outpatient clinic follow-up. CONCLUSION: 
      Three-dimensional-printed HDPE prosthesis offers an alternative implant option 
      for closing large chest wall defects for eroded sternum after cure of 
      mediastinitis.
CI  - Copyright (c) 2020 Australian and New Zealand Society of Cardiac and Thoracic 
      Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). 
      Published by Elsevier B.V. All rights reserved.
FAU - Prakash, Minesh
AU  - Prakash M
AD  - Waikato District Health Board, Waikato Hospital Cardiothoracic Department, 
      Hamilton, New Zealand. Electronic address: Minesh.Prakash@waikatodhb.health.nz.
FAU - Ong, QiHao
AU  - Ong Q
AD  - Waikato District Health Board, Waikato Hospital Radiology Department, Hamilton, 
      New Zealand.
FAU - Lo, Casey
AU  - Lo C
AD  - Waikato District Health Board, Waikato Hospital Cardiothoracic Department, 
      Hamilton, New Zealand.
FAU - Macemon, Jeffrey B
AU  - Macemon JB
AD  - Waikato District Health Board, Waikato Hospital Cardiothoracic Department, 
      Hamilton, New Zealand.
FAU - El Gamel, Adam
AU  - El Gamel A
AD  - Waikato District Health Board, Waikato Hospital Cardiothoracic Department, 
      Hamilton, New Zealand.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20200213
PL  - Australia
TA  - Heart Lung Circ
JT  - Heart, lung & circulation
JID - 100963739
RN  - 9002-88-4 (Polyethylene)
SB  - IM
MH  - Coronary Artery Bypass/*adverse effects
MH  - Humans
MH  - Male
MH  - Mediastinitis/etiology/*surgery
MH  - Middle Aged
MH  - *Polyethylene
MH  - *Printing, Three-Dimensional
MH  - Prosthesis Design
MH  - Rib Cage/*surgery
MH  - ST Elevation Myocardial Infarction/surgery
MH  - Sternotomy/*adverse effects
MH  - Surgical Wound Infection/diagnosis/etiology/*surgery
MH  - Tomography, X-Ray Computed
OTO - NOTNLM
OT  - 3D-printed prosthesis
OT  - Chest wall reconstruction surgery
OT  - Polyethylene sternal prosthesis
OT  - Post-sternotomy mediastinitis
EDAT- 2020/02/26 06:00
MHDA- 2021/05/06 06:00
CRDT- 2020/02/26 06:00
PHST- 2019/09/30 00:00 [received]
PHST- 2019/12/07 00:00 [revised]
PHST- 2020/01/16 00:00 [accepted]
PHST- 2020/02/26 06:00 [pubmed]
PHST- 2021/05/06 06:00 [medline]
PHST- 2020/02/26 06:00 [entrez]
AID - S1443-9506(20)30033-0 [pii]
AID - 10.1016/j.hlc.2020.01.005 [doi]
PST - ppublish
SO  - Heart Lung Circ. 2020 Oct;29(10):1561-1565. doi: 10.1016/j.hlc.2020.01.005. Epub 
      2020 Feb 13.