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Surgical Case Reports
Fig. 1 | Surgical Case Reports

Fig. 1

From: Inverse T-shaped sternotomy as novel thoracoplasty for severe chest deformation and tracheal stenosis

Fig. 1

Imaging and intraoperative photographs in Patient 1. a Concept of the inverse T-shaped sternotomy on three-dimensional computed tomography (CT) imaging. Red and dotted lines indicate the lines of the sternotomy and the line of detachment between the second costal cartilage and the manubrium, respectively. b Manubriotomy from the caudal side using an oscillator. c Brachiocephalic artery transection. Note that the trachea is compressed between the transected artery. d Fixation of the halves of the divided manubrium to the bilateral second costal cartilage. A brachiocephalic artery; B sternal body; C sternal end of the clavicle; M manubrium sterni; T trachea; V brachiocephalic vein

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