Delayed chest closure with skin approximation after lung transplant in oversized graft

Mohite, Prashant N and Sabashnikov, Anton and Popov, Aron-Frederik and Zeriouh, Mohamed and Fatullayev, Javid and Capoccia, Massimo and Amrani, Mohamed and Carby, Martin and Simon, André R. (2018) Delayed chest closure with skin approximation after lung transplant in oversized graft. Experimental and Clinical Transplantation, 16 (1). pp. 107-109. (https://doi.org/10.6002/ect.2015.0309)

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Abstract

Closure of the chest after lung transplant in cases of oversized grafts is often difficult. Lung volume reduction and delayed closure of the chest with Bogota bag are the only options available in such situations. Here, we propose to keep the sternum and intercostal spaces open and approximate skin over it. Once lung function improves and reperfusion-related edema recovers, the chest can be closed.