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. 2017 Aug;104(2):e207-e209.
doi: 10.1016/j.athoracsur.2017.04.036.

Clamshell Closure With Absorbable Sternal Pins in Lung Transplant Recipients

Anne Olland  1 , Jérémie Reeb  2 , Sophie Guinard  2 , Joseph Seitlinger  3 , Nicola Santelmo  3 , Romain Kessler  2 , Pierre-Emmanuel Falcoz  3 , Gilbert Massard  2
Affiliations

Clamshell Closure With Absorbable Sternal Pins in Lung Transplant Recipients

Anne Olland et al. Ann Thorac Surg. 2017 Aug.

Abstract

Clamshell (bilateral anterolateral thoracotomy combined to transverse sternotomy) is an invasive surgical approach that is helpful in particular situations, especially bilateral lung transplantation. The closure technique remains challenging because clamshell incision can end with override, separation, or sternal pseudarthrosis complications. We describe the use of new absorbable sternal pins to stabilize the sternal closure and to help avoid additional sternal complications.

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