Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Sep;20(3):205-209.
doi: 10.5114/kitp.2023.131937. Epub 2023 Oct 30.

Extensive chest wall stabilization after cardiopulmonary resuscitation and urgent cardiac surgery

Affiliations

Extensive chest wall stabilization after cardiopulmonary resuscitation and urgent cardiac surgery

Vasileios Leivaditis et al. Kardiochir Torakochirurgia Pol. 2023 Sep.
No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Sagittal CT reconstruction showing sternal fracture stabilization using sternal wires
Figure 2
Figure 2
3D reconstruction illustrating the position of clips and bars in the Strasbourg Thoracic Osteosynthesis System (STRATOS, MedXpert)
Figure 3
Figure 3
CT 3D reconstruction demonstrates the result of thoracic wall stabilization from various angles
Figure 4
Figure 4
Chest X-Ray prior to patient discharge
Figure 5
Figure 5
Surgical approaches for the patient’s thorax: a – right-side incisions for rib clip placement, b – left-side incisions for rib clip placement, c – median sternotomy, d – tracheotomy, e – ICD implantation

References

    1. Dorn P, Pfister S, Oberhaensli S, Gioutsos K, Haenggi M, Kocher GJ. Operative versus non-operative management of rib fractures in flail chest after cardiopulmonary resuscitation manoeuvres. Interact Cardiovasc Thorac Surg 2022; 34: 768-774. - PMC - PubMed
    1. Hoke RS, Chamberlain D. Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation 2004; 63: 327-338. - PubMed
    1. Kawai Y, Takano K, Miyazaki K, Yamamoto K, Tada Y, Asai H, Maegawa N, Urisono Y, Saeki K, Fukushima H. Association of multiple rib fractures with the frequency of pneumonia in the post-resuscitation period. Resusc Plus 2022; 11: 100267. - PMC - PubMed
    1. Comanici M, Farmidi A, Bhudia SK, Anikin V. Concomitant cardiac surgery and fixation of bilateral rib fractures sustained during cardiopulmonary resuscitation. J Card Surg 2022; 37: 5521-5523. - PubMed
    1. Ananiadou O, Karaiskos T, Givissis P, Drossos G. Operative stabilization of skeletal chest injuries secondary to cardiopulmonary resuscitation in a cardiac surgical patient. Interact Cardiovasc Thorac Surg 2010; 10: 478-480. - PubMed

LinkOut - more resources