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Ann Thorac Surg 1990;49:993-995
© 1990 The Society of Thoracic Surgeons

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Articles

Open fixation of flail chest after blunt trauma

Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee County Medical Complex, Milwaukee, Wisconsin USA

Accepted for publication November 7, 1989.

^_* Address reprint requests to Dr Haasler, Cardiothoracic Surgery Department, Milwaukee County Medical Complex. 8700 West Wisconsin Ave, Milwaukee, WI 53226.

Progressive left chest volume loss developed in a patient with severe flail chest despite reasonable oxygenation without intubation. Because of this chest volume loss, pain, and shortness of breath, she underwent open chest wall repair using multiple metallic struts. Rapid recovery ensued, despite a perforated duodenal ulcer on postoperative day 1. Benefits of open fixation of severe flail chest are clearly demonstrated and should be considered instead of prolonged ventilation or supportive care alone for select patients.

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