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DELAYED CHEST CLOSURE WITH SKIN APPROXIMATION AFTER LUNG TRANSPLANT IN OVERSIZED GRAFT

PRASHANT N MOHİTE, ANTON SABASHNİKOV, ARON-FREDERİK POPOV, MOHAMED ZERİOUH, JAVİD FATULLAYEV, MASSİMO CAPOCCİA, MOHAMED AMRANİ, MARTİN CARBY, ANDRÉ R SİMON

Experimental and Clinical Transplantation - 2018;16(1):107-109

From the Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, Harefield, London, United Kingdom

 

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.