{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:41:29Z","timestamp":1778503289253,"version":"3.51.4"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Very large chest wall resections can lead to acute thoracic insufficiency syndrome due to the interdependence of lung expansion and thoracic volume. Chest wall tumor surgeries often encounter complications, with the size of the chest wall defect being a significant predictor. Several methods for large chest wall reconstruction have been described, aiming to provide stability, prevent flail chest, and ensure airtight closure. However, no single method fulfills all requirements. Composite chest wall reconstruction using titanium plates and Gore-Tex patches has shown the potential to minimize physiologic abnormalities caused by extensive defects.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 42-year-old man with myxofibrosarcoma underwent multiple surgeries, chemotherapies, and radiation therapies due to repeated local recurrences. After right arm amputation and resection of the right third to fifth ribs, a local recurrence was detected. A 30\u2009\u00d7\u200940\u00a0cm chest wall defect was resected en bloc, and a titanium plate was used for three-dimensional formability, preventing flail chest and volume loss. The Gore-Tex patch was then reconstructed into an arch shape, allowing lateral thoracic mobility. The patient recovered well and did not experience respiratory dysfunction or local recurrence but later succumbed to distant metastasis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>In this case, the combination of a titanium plate and a Gore-Tex patch proved effective for reconstructing massive lateral chest wall defects. The approach provided stability, preserved thoracic volume, and allowed for lateral mobility. While the patient achieved a successful outcome in terms of local recurrence and respiratory function, distant metastasis remained a challenge for myxofibrosarcoma patients, and its impact on long-term prognosis requires further investigation. Nevertheless, the described procedure offers promise for managing extensive chest wall defects.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02639-5","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T02:01:25Z","timestamp":1713405685000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reconstruction method for massive lateral chest wall sarcoma using titanium plates and mesh: a case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Shin","family":"Tanaka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Nakata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshifumi","family":"Ozaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Toyooka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"2639_CR1","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1016\/j.athoracsur.2005.07.001","volume":"81","author":"MJ Weyant","year":"2006","unstructured":"Weyant MJ, Bains MS, Venkatraman E, Downey RJ, Park BJ, Flores RM, et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg. 2006;81:279\u201385.","journal-title":"Ann Thorac Surg"},{"key":"2639_CR2","first-page":"1227","volume":"7","author":"H Yang","year":"2015","unstructured":"Yang H, Tantai J, Zhao H. Clinical experience with titanium mesh in reconstruction of massive chest wall defects following oncological resection. J Thorac Dis. 2015;7:1227\u201334.","journal-title":"J Thorac Dis"},{"key":"2639_CR3","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1093\/icvts\/ivz214","volume":"30","author":"A Vittorio","year":"2020","unstructured":"Vittorio A, Stylianos K, Roberto C, Marcello CA. Chest wall reconstruction with a novel titanium mesh after partial sternectomy for chondrosarcoma. Interact Cardiovasc Thorac Surg. 2020;30:149\u201350.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2639_CR4","doi-asserted-by":"publisher","first-page":"ezac534","DOI":"10.1093\/ejcts\/ezac534","volume":"62","author":"M Bergovec","year":"2022","unstructured":"Bergovec M, Smolle M, Lindenmann J, Fediuk M, Leithner A, Smolle-J\u00fcttner FM. High complication rate with titanium plates for chest wall reconstruction following tumour resection. Eur J Cardio Thorac Surg. 2022;62:ezac534.","journal-title":"Eur J Cardio Thorac Surg"},{"key":"2639_CR5","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1016\/S0003-4975(99)01422-8","volume":"69","author":"D Lardinois","year":"2000","unstructured":"Lardinois D, M\u00fcller M, Furrer M, Banic A, Gugger M, Krueger T, et al. Functional assessment of chest wall integrity after methylmethacrylate reconstruction. Ann Thorac Surg. 2000;69:919\u201323.","journal-title":"Ann Thorac Surg"},{"key":"2639_CR6","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1093\/ejcts\/ezv265","volume":"48","author":"JL Aranda","year":"2015","unstructured":"Aranda JL, Jim\u00e9nez MF, Rodr\u00edguez M, Varela G. Tridimensional titanium-printed custom-made prosthesis for sternocostal reconstruction. Eur J Cardio Thorac Surg. 2015;48:92\u20134.","journal-title":"Eur J Cardio Thorac Surg"},{"key":"2639_CR7","doi-asserted-by":"publisher","first-page":"193","DOI":"10.2214\/AJR.05.1130","volume":"188","author":"B Waters","year":"2007","unstructured":"Waters B, Panicek DM, Lefkowitz RA, Antonescu CR, Healey JH, Athanasian EA, et al. Low-grade myxofibrosarcoma: CT and MRI patterns in recurrent disease. AJR Am J Roentgenol. 2007;188:193\u20138.","journal-title":"AJR Am J Roentgenol"},{"key":"2639_CR8","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1097\/01.blo.0000229292.98850.14","volume":"450","author":"MW Manoso","year":"2006","unstructured":"Manoso MW, Pratt J, Healey JH, Boland PJ, Athanasian EA. Infiltrative MRI pattern and incomplete initial surgery compromise local control of myxofibrosarcoma. Clin Orthop Relat Res. 2006;450:89\u201394.","journal-title":"Clin Orthop Relat Res"},{"key":"2639_CR9","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1002\/jso.20425","volume":"93","author":"CN Lin","year":"2006","unstructured":"Lin CN, Chou SC, Li CF, Tsai KB, Chen WC, Hsiung CY, et al. Prognostic factors of myxofibrosarcomas: implications of margin status, tumor necrosis, and mitotic rate on survival. J Surg Oncol. 2006;93:294\u2013303.","journal-title":"J Surg Oncol"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02639-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02639-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02639-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T02:02:32Z","timestamp":1713405752000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02639-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,18]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2639"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02639-5","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,18]]},"assertion":[{"value":"18 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Board of Okayama University Hospital (approval date: 5 July 2021, K2104-020).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patients for publication. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"245"}}