{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:54:06Z","timestamp":1740174846449,"version":"3.37.3"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T00:00:00Z","timestamp":1629936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T00:00:00Z","timestamp":1629936000000},"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":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Patients with severe motor and intellectual disabilities often suffer from tracheal stenosis due to chest deformation and brachiocephalic artery compression, which sometimes leads to serious complications, such as dying spell and tracheobrachiocephalic artery fistula. We herein described our experience of performing a novel and simple thoracoplastic procedure combined with brachiocephalic artery transection in two patients with severe chest deformation and tracheal stenosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>The patients were a 12-year-old female with cerebral palsy due to periventricular leukomalacia and a 21-year-old male with subacute sclerosing panencephalitis stage IV in the Jabbour classification following a laryngotracheal separation. Both patients showed severe chest deformation and symptoms of airway stenosis resulting in dying spells. The sternum was laterally transected between the manubrium and the sternal body, and a manubriotomy was performed longitudinally, ending with an inverse T-shaped sternotomy. Since the clavicle and the first rib remained attached to the halves of the divided manubrium, the sternum was allowed to be left open, resulting in improvement of the mediastinal narrowing and tracheal stenosis. Postoperative computed tomography (CT) showed that the distance between the halves of the manubrium was maintained at 10\u201311\u00a0mm, and that the mediastinal narrowing in both patients improved; the sternocervical spine distance increased from 20\u00a0mm to 22\u00a0 and 13\u00a0mm to 16\u00a0mm, respectively. The patients\u2019 tracheal stenosis below the sternal end of the clavicle and the manubrium and respiratory symptoms improved, and the patients are currently at home in a stable condition with no chest fragility and no upper limb movement disorder 1\u00a0year after surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our observations suggested that the inverse T-shaped sternotomy combined with brachiocephalic artery transection may relieve symptoms of tracheal stenosis due to severe chest deformation in patients with severe motor and intellectual disabilities.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01275-8","type":"journal-article","created":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T14:10:33Z","timestamp":1629987033000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Inverse T-shaped sternotomy as novel thoracoplasty for severe chest deformation and tracheal stenosis"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0283-8240","authenticated-orcid":false,"given":"Hirofumi","family":"Tomita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Shimotakahara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Shimojima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Ishihama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miki","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Mizuno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayano","family":"Tsukizaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Miyaguni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiichi","family":"Hirobe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,26]]},"reference":[{"key":"1275_CR1","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1093\/ejcts\/ezt346","volume":"45","author":"T Hasegawa","year":"2014","unstructured":"Hasegawa T, Oshima Y, Hisamatsu C, Matsuhisa H, Maruo A, Yokoi A, et al. Innominate artery compression of the trachea in patients with neurological or neuromuscular disorders. Eur J Cardiothorac Surg. 2014;45:305\u201311.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1275_CR2","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1007\/s00383-012-3138-y","volume":"28","author":"C Hisamatsu","year":"2012","unstructured":"Hisamatsu C, Okata Y, Zaima A, Yasufuku M, Maeda K, Okita Y, et al. Innominate artery transection for patients with severe chest deformity: optimal indication and timing. Pediatr Surg Int. 2012;28:877\u201381.","journal-title":"Pediatr Surg Int"},{"key":"1275_CR3","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1007\/s11748-010-0598-7","volume":"58","author":"Y Fujimoto","year":"2010","unstructured":"Fujimoto Y, Hirose K, Ota N, Murata M, Ide Y, Tosaka Y, et al. Suprasternal approach for impending tracheo-innominate artery fistula. Gen Thorac Cardiovasc Surg. 2010;58:480\u20133.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"1275_CR4","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1016\/j.ejcts.2006.12.028","volume":"31","author":"F Iodice","year":"2007","unstructured":"Iodice F, Brancaccio G, Lauri A, Di Donato R. Preventive ligation of the innominate artery in patients with neuromuscular disorders. Eur J Cardiothorac Surg. 2007;31:747\u20139.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1275_CR5","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.1016\/j.jpedsurg.2010.04.003","volume":"45","author":"T Hasegawa","year":"2010","unstructured":"Hasegawa T, Zaima A, Hisamatsu C, Nishijima E, Okita Y. Minimally invasive innominate artery transection for tracheomalacia using 3-dimensional multidetector-row computed tomographic angiography: report of a case. J Pediatr Surg. 2010;45:E1-4.","journal-title":"J Pediatr Surg"},{"key":"1275_CR6","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s13019-020-1080-y","volume":"15","author":"S Kaneko","year":"2020","unstructured":"Kaneko S, Uchida K, Karube N, Kasama K, Minami T, Cho T, et al. Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: a case report. J Cardiothorac Surg. 2020;15:41.","journal-title":"J Cardiothorac Surg"},{"key":"1275_CR7","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1093\/icvts\/ivv008","volume":"20","author":"T Hasegawa","year":"2015","unstructured":"Hasegawa T, Oshima Y, Bitoh Y, Iwaki R. The left anterior extrapleural approach for innominate artery transection in a patient with tracheostomy and a neurological disorder. Interact Cardiovasc Thorac Surg. 2015;20:685\u20136.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"1275_CR8","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1016\/S0022-5223(19)43343-6","volume":"51","author":"HC Grillo","year":"1966","unstructured":"Grillo HC. Terminal or mural tracheostomy in the anterior mediastinum. J Thorac Cardiovasc Surg. 1966;51:422\u20137.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"1275_CR9","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/0003-4975(90)90243-Y","volume":"49","author":"HC Grillo","year":"1990","unstructured":"Grillo HC, Mathisen DJ. Cervical exenteration. Ann Thorac Surg. 1990;49:401\u20138.","journal-title":"Ann Thorac Surg"},{"key":"1275_CR10","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1186\/1752-1947-5-595","volume":"5","author":"K Ogawa","year":"2011","unstructured":"Ogawa K, Nitta N, Sonoda A, Takahashi M, Suzuki T, Kitamura S, et al. Tracheo-brachiocephalic artery fistula after tracheostomy associated with thoracic deformity: a case report. J Med Case Rep. 2011;5:595.","journal-title":"J Med Case Rep"},{"key":"1275_CR11","first-page":"1114","volume":"65","author":"T Kawahito","year":"2012","unstructured":"Kawahito T, Takano S, Egawa Y, Yoshida H. Experience of 3 successfully treated cases of tracheo-innominate artery fistula and significance of preventive surgery. Kyobu Geka. 2012;65:1114\u20138 (in Japanese).","journal-title":"Kyobu Geka"},{"key":"1275_CR12","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1016\/0003-4975(95)00641-W","volume":"60","author":"O Soysal","year":"1995","unstructured":"Soysal O, Walsh GL, Nesbitt JC, McMurtrey MJ, Roth JA, Putnam JB Jr. Resection of sternal tumors: extent, reconstruction, and survival. Ann Thorac Surg. 1995;60:1353\u20138.","journal-title":"Ann Thorac Surg"},{"key":"1275_CR13","doi-asserted-by":"publisher","first-page":"e485","DOI":"10.1016\/j.athoracsur.2020.04.074","volume":"110","author":"AM Steely","year":"2020","unstructured":"Steely AM, Liu DC. Innominate vein injury secondary to first-time sternotomy. Ann Thorac Surg. 2020;110:e485\u20136.","journal-title":"Ann Thorac Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01275-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01275-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01275-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T14:17:34Z","timestamp":1629987454000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01275-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,26]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1275"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01275-8","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2021,8,26]]},"assertion":[{"value":"9 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The present study was approved by the institutional ethical committee (2020b\u2013158) and has been performed in accordance with the Helsinki Declaration of 1964 and all its subsequent amendments. The patients\u2019 guardians consented to participate in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patients\u2019 guardians consented to the publication of this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"194"}}