Sternectomy Replacement With 3-Dimensional Printed Composite Porous High-Density Polyethylene.

El Nihum, Lamees I; Shariff, Mariam; Hosseini, Motahar; Gibreel, Waleed; Mardini, Samir; Morris, Jonathan M; Pochettino, Alberto; Blackmon, Shanda H · Ann Thorac Surg · 2022

case_report · Level V

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Abstract

A 54-year-old man with a history of type 2 diabetes presented in 2020 for a Bentall procedure after undergoing cardiac surgery complicated by sternal osteomyelitis in 2011. Sternal closure after aortic root replacement included a laparoscopically harvested omental flap to cover the heart. In 2021, multidisciplinary complex sternal reconstruction using a customized 3-dimensional-printed implant based on the patient's computed tomography imaging was performed with compassionate use permission from the Food and Drug Administration. We report the successful entire sternal replacement using a synthetic polyethylene implant.

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