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Forequarter Amputation Combined With Chest Wall Resection: A Single-Center Experience  Patrick Nierlich, MD, Philipp Funovics, MD, Martin Dominkus, MD,

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Presentation on theme: "Forequarter Amputation Combined With Chest Wall Resection: A Single-Center Experience  Patrick Nierlich, MD, Philipp Funovics, MD, Martin Dominkus, MD,"— Presentation transcript:

1 Forequarter Amputation Combined With Chest Wall Resection: A Single-Center Experience 
Patrick Nierlich, MD, Philipp Funovics, MD, Martin Dominkus, MD, Oskar Aszmann, MD, Manfred Frey, MD, Walter Klepetko, MD  The Annals of Thoracic Surgery  Volume 91, Issue 6, Pages (June 2011) DOI: /j.athoracsur Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A 43-year-old woman with therapy-induced sarcoma of the left chest wall and shoulder girdle after former treatment of breast cancer. Massive lymphedema of the left upper extremity (A) with infection and ulceration (B) and complete loss of function were present at time point of presentation to our department. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Forequarter amputation in combination with resection of 7 ribs and upper lobe lobectomy was performed. The shape of the chest wall was reconstructed by use of 2 metallic bars (Stratos R) (A) in combination with polytetrafluoroethylene (PTFE) mesh (B) and a myocutaneous free forearm flap (C) harvested from the amputated limb. The final result of the reconstruction is shown in (D). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Patient 6 approximately at time point of discharge from the hospital approximately 2 months after resection (A). The chest X-ray shows a normal contour of the chest wall (B). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

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