PMC3573561_01
CT image showing extensive destruction of the manubrium
ATM-8-60-g001.jpg
PMC3573561_01_ATM-8-60-g001.jpg
F1
A CT scan of the chest was performed and showed extensive bone destruction of the manubrium that is causing mild compression of the innominate vein [Figure 1].
(a) The operative field after the specimen has been resected; (b) The resected specimen
ATM-8-60-g002.jpg
PMC3573561_01_ATM-8-60-g002.jpg
F2
The internal mammary arteries were ligated bilaterally and the manubrium was excised at the level of first and second ribs on both sides together with the medial thirds of the clavicles [Figure 2a, b].
Operative image showing fixation of the titanium bars to the clavicles and 2nd ribs
ATM-8-60-g003.jpg
PMC3573561_01_ATM-8-60-g003.jpg
F3
The clips were fixed in place using special pliers provided with the STRATOS system [Figure 3].