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Ann Thorac Surg 2001;72:1755-1758
© 2001 The Society of Thoracic Surgeons

Case report

Dynamic thoracoplasty for asphyxiating thoracic dystrophy

Imad L. Kaddoura, MD, FACS*a, Mounir Y. Obeid, MD, FACSb, Salman M. Mroueh, MDc, Ali A. Nasser, MDa

a Division of Plastic and Reconstructive Surgery, Department of Surgery, American University Medical Center, Beirut, Lebanon
b Division of Cardiothoracic Surgery, Department of Surgery, American University Medical Center, Beirut, Lebanon
c Department of Pediatrics, American University Medical Center, Beirut, Lebanon

Accepted for publication November 30, 2000.

* Address reprint requests to Dr Kaddoura, Division of Plastic and Reconstructive Surgery, Department of Surgery, American University Medical Center, PO Box 113-6044, Beirut, Lebanon
e-mail: imadkaddoura{at}hotmail.com

The life-saving procedures to expand the chests of infants born with Jeune asphyxiating thoracic dystrophy provide a static solution incapable of responding to the growth demands of thriving patients. We describe an instrument that provided a dynamic solution for an infant, where an initial methyl methacrylate midsternotomy spacer placed at 4 months of age was followed at 11 months with recurrence of his difficulties. At 8 months after the second operation the patient was stable and thriving with no recurrence of symptoms. The instrument modifications, limitations, and possible complications are described.




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Ann. Thorac. Surg., December 1, 2002; 74(6): 2226 - 2226.
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 Ann. Thorac. Surg.Home page
I. L. Kaddoura, M. Y. Obeid, S. M. Mroueh, and A. A. Nasser
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Ann. Thorac. Surg., December 1, 2002; 74(6): 2226 - 2226.
[Full Text] [PDF]


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