RESUMO
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.
Assuntos
Ponte de Artéria Coronária/efeitos adversos , Mediastinite/cirurgia , Polietileno , Impressão Tridimensional , Caixa Torácica/cirurgia , Esternotomia/efeitos adversos , Infecção da Ferida Cirúrgica/cirurgia , Humanos , Masculino , Mediastinite/etiologia , Pessoa de Meia-Idade , Desenho de Prótese , Infarto do Miocárdio com Supradesnível do Segmento ST/cirurgia , Infecção da Ferida Cirúrgica/diagnóstico , Infecção da Ferida Cirúrgica/etiologia , Tomografia Computadorizada por Raios XRESUMO
INTRODUCTION: Primary oesophageal malignant melanoma is an extremely rare disease. While this aggressive tumour is generally considered to have a dismal prognosis, long-term survival can be achieved by radical resection in selected cases. CONCLUSIONS: We report two cases of primary oesophageal malignant melanoma treated with Ivor-Lewis oesophagogastrectomy and review the literature.
