Manubrial-clavicular-chest wall explantation to expose the anterior thoracic inlet

Christopher W. Seder, Bassem T. Elhassan, Dennis A. Wigle

Research output: Contribution to journalArticlepeer-review


The anterior thoracic inlet is difficult to access surgically because of the overlying pectoral-shoulder girdle, clavicle, and manubrium. With both the Dartevelle and Grunenwald approaches, retraction of an osteomuscular flap is required, and patients may be left with the functional and aesthetic implications of partial clavicular resection. We describe a novel technique involving manubrial-clavicular-chest wall explantation with preservation and reimplantation. Manubrial and clavicular plating is performed to stabilize the anterior chest wall and clavicle after reimplantation. This approach represents an alternative technique that provides excellent visualization of the entire anterior thoracic inlet.

Original languageEnglish (US)
Pages (from-to)350-352
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number1
StatePublished - Jan 2014

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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