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Ann Thorac Surg 2001;72:872-877
© 2001 The Society of Thoracic Surgeons

Original article: general thoracic

Lateral thoracic expansion for Jeune’s syndrome: midterm results

J. Terrance Davis, MDa, Jonathan B. Heistein, MDa, Robert G. Castile, MDa, Brent Adler, MDa, Khaled H. Mutabagani, MD, PhDa, Rafael E. Villalobos, DOa, Robert L. Ruberg, MDa

a Department of Cardiac Surgery, Columbus Children’s Hospital, The Ohio State University School of Medicine and Public Health, Columbus, Ohio, USA

Accepted for publication May 10, 2001.

Address reprint requests to Dr Davis, Department of Cardiac Surgery, Columbus Children’s Hospital, 700 Children’s Dr, Columbus, OH 43205

Background. In 1995, we reported the use of lateral thoracic expansion in a patient with symptomatic Jeune’s asphyxiating thoracic dystrophy. We have subsequently used lateral thoracic expansion 16 times on 10 patients during 7 years. This article reports our outcomes and provides surgical details.

Methods. Charts of all patients undergoing lateral thoracic expansion were reviewed. Eight of the 10 patients had symptomatic Jeune’s syndrome. The other 2 had similar thoracic deformities limiting thoracic capacity. In half of the patients the procedures were performed bilaterally.

Results. All patients older than 1 year of age were symptomatically benefited by lateral thoracic expansion. Functional and anatomic measurements documented thoracic enlargement in several patients who had comparable preoperative and postoperative studies. However, 2 infants with significant underlying airway disease did not improve and went on to succumb to that aspect of their disease despite enlargement of the thorax. Fracture of the titanium ministruts has been a recurrent problem, and we now use larger struts.

Conclusions. Lateral thoracic expansion is a safe and effective procedure in selected patients with Jeune’s syndrome older than 1 year of age as judged by short-term and midterm follow-up. More experience and longer follow-up are required to discern the place of the lateral thoracic expansion in the overall management of these patients.


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Invited commentary
Eric W. Fonkalsrud
Ann. Thorac. Surg. 2001 72: 878. [Extract] [Full Text] [PDF]



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J. T. Davis, F. R. Long, B. H. Adler, R. G. Castile, and S. Weinstein
Lateral thoracic expansion for Jeune syndrome: evidence of rib healing and new bone formation
Ann. Thorac. Surg., February 1, 2004; 77(2): 445 - 448.
[Abstract] [Full Text] [PDF]


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