The transmanubrial musculoskeletal sparing approach (TMA) is commonly used for resecting apical lung tumours with vascular involvement. Non-neoplastic conditions which might require surgical exploration of the thoracic outlet include the 'cervical rib', a clinical condition consisting of an additional rib forming above the first rib and growing from the base of the neck just above the clavicle. Type 1 cervical rib-when a complete cervical rib articulates with the first rib or manubrium of the sternum-is the most challenging scenario where the subclavian artery can be damaged by continuous compression due to the narrow space between clavicle, first rib and supernumerary cervical rib, requiring prosthetic reconstruction of the involved tract. Here, we describe a modified TMA in which the incision in the neck is conducted posteriorly to the sternocleidomastoid muscle, thus allowing safe dissection of the superior and middle trunk of the brachial plexus.

Petrella, F., Rossi, L., Gatto, A., Segramora, V., Del Bene, M., Froio, A. (2024). Modified transmanubrial approach for complicated type 1 cervical rib resection requiring subclavian artery reconstruction. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 65(1 (January 2024)) [10.1093/ejcts/ezae019].

Modified transmanubrial approach for complicated type 1 cervical rib resection requiring subclavian artery reconstruction

Del Bene, M;Froio, A
Ultimo
2024

Abstract

The transmanubrial musculoskeletal sparing approach (TMA) is commonly used for resecting apical lung tumours with vascular involvement. Non-neoplastic conditions which might require surgical exploration of the thoracic outlet include the 'cervical rib', a clinical condition consisting of an additional rib forming above the first rib and growing from the base of the neck just above the clavicle. Type 1 cervical rib-when a complete cervical rib articulates with the first rib or manubrium of the sternum-is the most challenging scenario where the subclavian artery can be damaged by continuous compression due to the narrow space between clavicle, first rib and supernumerary cervical rib, requiring prosthetic reconstruction of the involved tract. Here, we describe a modified TMA in which the incision in the neck is conducted posteriorly to the sternocleidomastoid muscle, thus allowing safe dissection of the superior and middle trunk of the brachial plexus.
Articolo in rivista - Articolo scientifico
Cervical rib; Manubriotomy; Subclavian artery; Transmanubrial approach;
English
13-gen-2024
2024
65
1 (January 2024)
ezae019
reserved
Petrella, F., Rossi, L., Gatto, A., Segramora, V., Del Bene, M., Froio, A. (2024). Modified transmanubrial approach for complicated type 1 cervical rib resection requiring subclavian artery reconstruction. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 65(1 (January 2024)) [10.1093/ejcts/ezae019].
File in questo prodotto:
File Dimensione Formato  
Froio-2024-Eur J Cardiothorac Surg-VoR.pdf

Solo gestori archivio

Tipologia di allegato: Publisher’s Version (Version of Record, VoR)
Licenza: Tutti i diritti riservati
Dimensione 833.56 kB
Formato Adobe PDF
833.56 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/460958
Citazioni
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 1
Social impact