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Published byGervais Ryan Modified over 5 years ago
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Pectoralis major muscle flap for deep sternal wound infection in neonates
Eldad Erez, MD, Miriam Katz, MD, Erez Sharoni, MD, Yaakov Katz, MD, Amos Leviav, MD, Bernardo A Vidne, MD, Ovadia Dagan, MD The Annals of Thoracic Surgery Volume 69, Issue 2, Pages (February 2000) DOI: /S (99)
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Fig 1 Patient 4, on axial thoracic computed tomographic (CT) scan after 31 months of follow-up, taken on different levels, there is (upper left) symmetric good apposition of the ossification centers at the manubrium sterni level (A), (upper right, lower left) complete fusion at the body of the sternum (B) (C), (lower right) and a single ossification center of the xiphoid process (D). In all panels the pectoralis major muscle flap (PMF) is probably not seen because it atrophied. (Arrow = Split sternum with remnant PMF.) (E) The three-dimensional spiral CT reconstruction of the thorax showing the relationship of the sternal ossification centers to the thoracic components. Note the manubrium is split (arrow). The Annals of Thoracic Surgery , DOI: ( /S (99) )
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Fig 2 Patient 1, axial computed tomographic (CT) scans of the thorax after 20 month of follow-up, at the relevant levels and by soft tissue window shows the two ossification centers at the sternal body completely separated and at (upper left) different levels (B), (upper right) prominent left upper hemithorax, and (lower left and right) prominent right lower hemithorax with rolled-up pectoralis major muscle flap (arrow). (C, D). (E) The three-dimensional spiral CT reconstruction of the thorax at follow-up showing the splitted sternum on its entire length and the paired ossification centers which are not at the same level. The Annals of Thoracic Surgery , DOI: ( /S (99) )
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