The patient, a nine-month-old infant, exhibited a chest wall abnormality along with pronounced breathing difficulties and hypoxia shortly after birth. After a series of examinations, he was diagnosed with asphyxiating thoracic dystrophy(ATD). Due to his critical condition, the child has been hospitalized for emergency resuscitation multiple times.
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The Fourth Surgery for A Patient with Se...
Medical History
Preoperative Examination
The infant is breathing rapidly, displaying distinct retractions in the suprasternal notch, supraclavicular fossae, and intercostal spaces (three concave signs). The chest appears narrowed, and there are visible depressions on both sides.
Surgical Overview
During the surgery, the Wang procedure was performed twice, using two bars to correct the depressions on both sides of the chest wall. Subsequently, MatrixRIBs were employed to further refine the shape. The surgery was completed in 90 minutes and achieved satisfactory results. After the surgery, the chest wall deformity was effectively corrected, leading to improved respiratory function and stable vital signs.
Related Photos
The overall anterior chest wall protrudes forward, with depressions on both sides.
The CT image shows the chest wall structure protruding outward, resulting in an overall convex appearance.
The CT image displaying a general narrowing of the thorax.
The 3D reconstruction showing a general narrowing of the thoracic cage.
The 3D reconstruction depicting severe chest wall deformity.
Postoperative image of the chest wall
