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Complications, special problems

  • Chapter
Congenital Thoracic Wall Deformities

Abstract

Surgery at the anterior thoracic wall can lead to specific problems peri- and also postoperatively because of the complex functional anatomy of the thorax and the complexity of the three-dimensional remodeling intervention. Above all the learning curve is relatively high-angled in the early stage of acquiring different surgical techniques of the individual procedures [27, 43]. Particularly and predominantly operation steps straightened on aesthetic improvements but lack of experience and lack of awareness of the functional anatomy let arise mistakes with more or less undesired or even drastic results for the affected patient. Severe complications were observed in the early period of applications, predominantly due to lack of experience. They usually subside with increasing numbers of patients and frequency of surgery within decreasing timeframes [24, 26, 30]. In this chapter, ample scope is dedicated for the subject of complications that may occur during and after the corrections of the funnel chest deformities and their variations, as well as the keel chest deformities. In specialized clinics, this kind of surgery dealing with congenital deformities of the anterior thoracic wall may represent a routine intervention with generally a poor risk incidence.

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References

  1. Adam LA, Meehan JJ (2008) Erosion of the Nuss bar into the internal mammary artery 4 months after minimally invasive repair of pectus excavatum. J Pediatr Surg 43: 394–397

    Article  PubMed  Google Scholar 

  2. Antonoff MB, Saltzman DA, Hess DJ, Acton RD (2010) Retrospective review of reoperative pectus excavatum repairs. J Pediatr Surg 45:200–205

    Article  PubMed  Google Scholar 

  3. Balzer BL, Weiss SW (2009) Do biomaterials cause implant-associated mesenchymal tumors of the breast? Analysis of 8 new cases and review of the literature. Hum Pathol 40:1564–1570

    Article  PubMed  CAS  Google Scholar 

  4. Bouchard S, Hong AR, Gilchrist BF, Kuenzler KA (2009) Catastrophic cardiac injuries encountered during the minimally invasive repair of pectus excavatum. Semin Pediatr Surg 18:66–72

    Article  PubMed  Google Scholar 

  5. Castellani C, Schalamon J, Saxena AK, Hoellwarth ME (2008) Early complications of the Nuss procedure for pectus excavatum: a prospective study. Pediatr Surg Int 24:659–666

    Article  PubMed  Google Scholar 

  6. Chen CH, Liu HC, Hung TT, Chen CH (2010) Restrictive chest wall deformity as a complication of surgical repair for pectus excavatum. Ann Thorac Surg 89:599–601

    Article  PubMed  Google Scholar 

  7. Chummun S, McLean NR, Abraham S, Youseff M (2010) Desmoid tumour of the breast. J Plast Reconstr Aesthet Surg 63:339–345

    Article  PubMed  Google Scholar 

  8. Fokin AA, Robicsek F (2006) Acquired deformities of the anterior chest wall. Thorac Cardiovasc Surg 54:57–61

    Article  PubMed  CAS  Google Scholar 

  9. Fonkalsrud EW, Beanes S, Hebra A, Adamson W, Tagge E (2002) Comparison of minimally invasive and modified Ravitch pectus excavatum repair. J Pediatr Surg 37: 413–417

    Article  PubMed  Google Scholar 

  10. Fonkalsrud EW, Reemtsen B (2002) Force required to elevate the sternum of pectus excavatum patients. J Am Coll Surg 195:575–577

    Article  PubMed  Google Scholar 

  11. Fox ME, Bensard DD, Roaten JB, Hendrickson JR (2005) Positioning for the Nuss procedure: avoiding brachial plexus injury. Pediatr Anaesth 15:1067–1077

    Google Scholar 

  12. Gips H, Zaitsev K, Hiss J (2008) Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature. Pediatr Surg Int 24:617–620

    Article  PubMed  Google Scholar 

  13. Haje SA (1995) Iatrogenic pectus carinatum. A case report. Int Orthop 19:370–373

    PubMed  CAS  Google Scholar 

  14. Haller JA Jr, Colombani PM, Humphries CT, Azizkhan RG, Loughlin GM (1996) Chest wall constriction after too extensive and too early operations for pectus excavatum. Ann Thorac Surg 61:1618–1624

    Article  PubMed  Google Scholar 

  15. Haller JA Jr (2000) Complications of surgery for pectus excavatum. Chest Surg Clin N Am 10:415–426

    PubMed  Google Scholar 

  16. Hebra A, Swoveland B, Egbert M, Tagge EP, Georgeson K, Othersen HP Jr, Nuss D (2000) Outcome analysis of minimally invasive repair of pectus excavatum: review of 251 cases. J Pediatr Surg 35:252–255

    Article  PubMed  CAS  Google Scholar 

  17. Hebra A, Gauderer MWL, Tagge EP, Adamson WT, Othersen HB Jr (2001) A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum. J Ped Surg 36:1266–1268

    Article  CAS  Google Scholar 

  18. Jandali AR, Wedler V, Meuli-Simmen C, Künzi W, Meyer VE (2004) Mammaimplantat und Desmoidtumoren: Besteht ein Zusammenhang? Handchir Mikrochir Plast Chir 36:343–347

    Article  PubMed  CAS  Google Scholar 

  19. Leonhardt J, Kübler JF, Feiter J, Ure BM, Petersen C (2005) Complications of the minimally invasive repair of pectus excavatum. J Pediatr Surg 40:e7–e9

    Article  PubMed  Google Scholar 

  20. Luu TD, Kogon BE, Force SD, Mansour KA, Miller DL (2009) Surgery for recurrent pectus deformities. Ann Thorac Surg 88:1627–1631

    Article  PubMed  Google Scholar 

  21. Martinez D, Juame J, Stein T, Peña A (1990) The effect of costal cartilage re-section on chest wall development. Pediatr Surg 5:170–173

    Google Scholar 

  22. Manisch F, Gastinger I (2003) Life-threatening complication of the Nuss-procedure for funnel chest. Zentralbl Chir 28:981–984

    Google Scholar 

  23. Morimoto K, Imai K, Yamada A, Fujiomoto T, Matsumoto H, Niizuma K (2007) Migration of a pectus bar into the ribs. J Plast Reconstr Aesthet Surg 61:225–227

    Article  PubMed  Google Scholar 

  24. Moss RL, Albanese CT, Reynolds M (2001) Major complications after minimally invasive repair of pectus excavatum: case reports. J Pediatr Surg 36:155–158

    Article  PubMed  CAS  Google Scholar 

  25. Niedbala A, Adams M, Boswell WC, Considine JM (2003) Acquired scoliosis following minimally invasive repair of pectus excavatum. Am Surg 69:530–533

    PubMed  Google Scholar 

  26. Nuss D, Croitoru DP, Kelly RE Jr, Goretsky MJ, Nuss KJ, Gustin TS (2002) Review and discussion of the complications of minimally invasive pectus excavatum repair. Eur J Pediatr Surg 12:230–234

    Article  PubMed  CAS  Google Scholar 

  27. Ong CC, Choo K, Morreau P, Auldist A (2005) The learning curve in learning the curve: a review of Nuss procedure in teenagers. ANZ J Surg 75:421–424

    Article  PubMed  Google Scholar 

  28. Onursal E, Toker A, Bostanci K, Alpagut U, Tireli E (1999) A complication of pectus excavatum operation: endomyocardial steel strut. Ann Thorac Surg 68: 1082–1083

    Article  PubMed  CAS  Google Scholar 

  29. Park HJ, Lee SY, Lee CS (2004) Complications associated with the Nuss procedure. Analysis of risk factors and suggested measures for prevention of complications. J Pediatr Surg 39:391–395

    Article  PubMed  Google Scholar 

  30. Pedersen C (2003) Die Trichterbrust. Orthopäde 32: 916–919

    Article  Google Scholar 

  31. Ponsky TA, Rothenberg SS, Tsao K, Ostlie DJ, St. Peter SD, Holcomb GW (2008) Thoracoscopy in children: is a chest tube necessary

    Google Scholar 

  32. Prabhakaran K, Paidas CN, Haller JA, Pegoli W, Colombani PM (2001) Management of a floating sternum after repair of pectus excavatum. J Pediatr Surg 36: 159–164

    Article  PubMed  CAS  Google Scholar 

  33. Protopapas AD, Athanasiou T (2008) Peri-operative data on the Nuss procedure in children with pectus excavatum: independent survey of the first 20 years’ data. J Cardiothorac Surg 3:40–44

    Article  PubMed  Google Scholar 

  34. Raff GW, Wong MS (2008) Sternal plating to correct an unusual complication of the Nuss procedure: erosion of a pectus bar through the sternum. Ann Thorac Surg 85: 1100–1101

    Article  PubMed  Google Scholar 

  35. Robicsek F, Fokin AA (2004) How not to do it: restrictive thoracic dystrophy after pectus excavatum repair. Interactive Cardiovasc Thorac Surg 3:566–568

    Article  Google Scholar 

  36. Schaarschmidt K, Kolberg-Schwerdt A, Lempe M, Schlesinger F, Bunke K, Strauss J (2005) Extrapleural, submuscular bars placed by bilateral thoracoscopy — a new improvement in modified Nuss funnel chest repair. J Pediatr Surg 40:1407–1410

    Article  PubMed  Google Scholar 

  37. Schwabegger AH, Jeschke J, Schuetz T, Del Frari B (2008) Refinements in pectus carinatum corrections: the pectoralis muscle split technique. J Pediatr Surg 43: 771–774

    Article  PubMed  Google Scholar 

  38. Schwabegger AH, Jeschke J, Del Frari B (2008) A rounded dissector to reduce complications in the minimally invasive repair (Nuss) of pectus excavatum in adolescents and adults. Thorac Cardiovasc Surg 56: 118–120

    Article  PubMed  CAS  Google Scholar 

  39. Swanson JW, Colombani PM (2008) Reactive pectus carinatum in patients treated for pectus excavatum. J Pediatr Surg 43:1468–1473

    Article  PubMed  Google Scholar 

  40. Tahmassebi R, Ashrafian H, Salih C, Deshpande RP, Athanasiou T, Dussek JE (2008) Intra-abdominal pectus bar migration — a rare clinical entity: case report. J Cariothorac Surg 3:39–43

    Article  Google Scholar 

  41. Uemura S, Nakagawa Y, Yoshida A, Choda Y (2003) Experience in 100 cases with the Nuss procedure using a technique for stabilization of the pectus bar. Pediatr Surg Int 19:186–189

    PubMed  Google Scholar 

  42. Van Renterghem KM, von Bismarck S, Bax NM, Fleer A, Hoellwarth ME (2005) Should an infected Nuss bar be removed? J Pediatr Surg 40:670–673

    Article  PubMed  Google Scholar 

  43. Vegunta RV, Pacheco PE, Wallace LJ, Pearl RH (2008) complications with the Nuss procedure: continued evolution of the learning curve. Am J Surg 195: 313–317

    Article  PubMed  Google Scholar 

  44. Watanabe A, Watanabe T, Obama T, Ohsawa H, Mawatari T, Ichimiya Y, Abe T (2004) The use of a lateral stabilizer increases the incidence of wound trouble following the Nuss procedure. Ann Thorac Surg 77:296–300

    Article  PubMed  Google Scholar 

  45. Weber PG, Huemmer HP, Reingruber B (2006) Forces to be overcome in correction of pectus excavatum. J Thorac Cardiovasc Surg 132:1369–1373

    Article  PubMed  Google Scholar 

  46. Wong MS (2005) Consult for exposed hardware. Plast Reconstr Surg 116:1574–1575

    Article  CAS  Google Scholar 

References

  1. Segev F, Jaeger-Roshu S, Gefen-Carmi N, Assia EI (2003) Combined mitomycin C application and free flap conjunctival autograft in pterygium surgery. Cornea 22:598–603

    Article  PubMed  Google Scholar 

  2. English RS, Shenefelt PD (1999) Keloids and hypertrophic scars. Dermatol Surg 25:631–638

    Article  PubMed  CAS  Google Scholar 

  3. Slemp AE, Kirschner RE (2006) Keloids and scars: a review of keloids and scars, their pathogenesis, risk factors, and management. Curr Opin Pediatr 18: 396–402

    Article  PubMed  Google Scholar 

  4. Peacock EE, Madden JW, Trier WC (1970) Biologic basis for treatment of keloids and hypertrophic scar. South Med J 63:755–760

    Article  PubMed  Google Scholar 

  5. Wolfram D, Tzankov A, Pülzl P, Piza-Katzer H (2009) Hypertrophic scars and keloids — a review of their pathophysiology, risk factors and therapeutic management. Dermatol Surg 35:171–181

    Article  PubMed  CAS  Google Scholar 

  6. Rudolph R (1987) Wide spread scars, hypertrophic scars and keloids. Clin Plast Surg 14:253–260

    PubMed  CAS  Google Scholar 

  7. Chan KY, Lau CL, Adeeb SM, Somasundaram S, Nasir-Zahari M (2005) A randomized, placebo-controlled, double-blind, prospective clinical trial of silicone gel in prevention of hypertrophic scar development in median sternotomy wound. Plast Reconstr Surg 116:1013–1020

    Article  PubMed  CAS  Google Scholar 

  8. Davies DM (1985) Plastic and reconstructive surgery. Scars, hypertrophic scars and keloids. Br Med J 290: 1056–1058

    Article  CAS  Google Scholar 

  9. Alhady SM, Sivanantharajah K (1969) Keloids in various races. A review of 175 cases. Plast Reconstr Surg 44:564–566

    Article  PubMed  CAS  Google Scholar 

  10. Moustafa MF, Abdel-Fattah MA, Abdel-Fattah DC (1975) Presumptive evidence of the effect of pregnancy estrogens on keloid growth. Plast Reconstr Surg 56: 450–453

    Article  PubMed  CAS  Google Scholar 

  11. Rockwell WB, Cohen IK, Ehrlich HP (1989) Keloids and hypertrophic scars. A comprehensive review. Plast Reconstr Surg 84:827–837

    Article  PubMed  CAS  Google Scholar 

  12. Cohen IK, Peacock EE Jr (1990) Keloids and hypertrophic scars. In: McCarthy JG (ed) Plastic surgery, vol. 1. Saunders, Philadelphia, pp 732–746

    Google Scholar 

  13. Oliver N, Babu M, Diegelmann R (1992) Fibronectin gene transcription is enhanced in abnormal wound healing. J Invest Dermatol 99:579–586

    Article  PubMed  CAS  Google Scholar 

  14. Babu M, Diegelmann R, Oliver N (1989) Fibronectin is overproduced by keloid fibroblasts during abnormal wound healing. Mol Cell Biol 9:1642–1650

    PubMed  CAS  Google Scholar 

  15. Niessen FB, Spauwen PH, Schalkwijk J, Kon M (1999) On the nature of hypertrophic scars and keloids: a review. Plast Reconstr Surg 104:1435–1458

    Article  PubMed  CAS  Google Scholar 

  16. Datubo-Brown DD (1990) Keloids: a review of the literature. Br J Plast Surg 43:70–77

    Article  PubMed  CAS  Google Scholar 

  17. Salasche SJ, Grabski WJ (1983) Keloids of the earlobes: a surgical technique. J Dermatol Surg Oncol 9:552–556

    PubMed  CAS  Google Scholar 

  18. Engrav LH, Gottlieb JR, Millard SP et al (1988) A comparison of intramarginal and extramarginal excision of hypertophic burn scars. Plast Reconstr Surg 81:40–45

    Article  PubMed  CAS  Google Scholar 

  19. Brown LA Jr, Pierce HE (1986) Keloids: scar revision. J Dermatol Surg Oncol 12:51–56

    PubMed  Google Scholar 

  20. Cosman B, Crikelair GF, Ju MC et al (1961) The surgical treatment of keloids. Plast Reconstr Surg 27:335–345

    Article  Google Scholar 

  21. Baisch A, Riedel F (2006) Hyperplastic scars and keloids. Part II: surgical and non-surgical treatment modalities. HN0 54:981–992

    Article  CAS  Google Scholar 

  22. Gold MH (1994) A controlled clinical trial of topical silicone gel sheeting in the treatment of hypertrophic scars and keloids. J Am Acad Dermatol 30:506–507

    Article  PubMed  CAS  Google Scholar 

  23. Fulton JE (1995) Silicone gel sheeting for the prevention and management of evolving hypertrophic and keloid scars. Dermatol Surg 21:947–951

    Article  PubMed  Google Scholar 

  24. Urioste SS, Arndt KA, Dover JS (1999) Keloids and hypertrophic scars: review and treatment strategies. Semin Cutan Med Surg 18:159–171

    Article  PubMed  CAS  Google Scholar 

  25. Brissett AE, Sherris DA (2001) Scar contractures, hypertrophic scars and keloids. Facial Plast Surg 17: 263–272

    Article  PubMed  CAS  Google Scholar 

  26. Golladay ES (1988) Treatment of keloids by single intraoperative perilesional injection of repository steroid. South Med J 81:736–738

    Article  PubMed  CAS  Google Scholar 

  27. Sherris DA, Larrabee WF, Murakami CS (1995) Management of scar contractures, hypertrophic scars, and keloids. Otolaryngol Clin North Am 28:1057–1468

    PubMed  CAS  Google Scholar 

  28. Alster TS (1997) Laser treatment of hypertrophic scars, keloids and striae. Dermatol Clin 15:419–429

    Article  PubMed  CAS  Google Scholar 

  29. Goldman MP, Fitzpatrick RE (1995) Laser treatment of scars. Dermatol Surg 21:685–687

    PubMed  CAS  Google Scholar 

  30. Alster TS (1994) Improvement of erythematous and hypertophic scars by the 585-nm flashlamp-pumped pulsed dye laser. Ann Plast Surg 32:186–190

    Article  PubMed  CAS  Google Scholar 

  31. Linares HA, Larson DL, Willis-Galstaun BA (1993) Historical notes on the use of pressure in the treatment of hypertrophic scars or keloids. Burns 19:17–21

    Article  PubMed  CAS  Google Scholar 

  32. Schwabegger AH, Harpf C, Ninkovic M, Rieger M (2002) Technische Neuerungen in der Planung und Therapie der Kielbrust-Deformität. Chirurg 73:1191–1196

    Article  PubMed  CAS  Google Scholar 

References

  1. Maxwell GP, Gabriel A (2009) Possible future development of implants and breast augmentation. Clin Plast Surg 36:167–172

    Article  PubMed  Google Scholar 

  2. Bar-Meir E, Eherenfeld M, Shoenfeld Y (2003) Silicone gel breast implants and connective tissue disease — a comprehensive review. Autoimmunity 36:193–197

    Article  PubMed  Google Scholar 

  3. Janowsky EC, Kupper LL, Hulka BS (2000) Meta-analyses of the relation between silicone breast implants and the risk of connective-tissue diseases. N Engl J Med 342: 781–790

    Article  PubMed  CAS  Google Scholar 

  4. Spear SL, Robb GL, Willey SC (2006) Surgery of the breast. Lipincott Williams & Wilkins

    Google Scholar 

  5. Backovic A, Wolfram D (2007) Silicone mammary implants — can we turn back the time? Exp Gerontol 42: 713–718

    Article  PubMed  CAS  Google Scholar 

  6. Saour S, Shaaban H, McPhail J, McArthur P (2008) Customised silicone prostheses for the reconstruction of chest wall defects: technique of manufacture and final outcome. J Plast Reconstr Aesthetic Surg 61: 1205–1209

    Article  Google Scholar 

  7. Henriksen TF, Fryzek JP, Holmich LR, McLaughlin JK, Kjoller K, Hoyer AP, Olsen JH, Friis S (2005) Surgical intervention and capsular contracture after breast augmentation: a prospective study of risk factors. Ann Plast Surg 54:343–351

    Article  PubMed  CAS  Google Scholar 

  8. Henriksen TF, Holmich LR, Fryzek JP, Friis S, McLaughlin JK, Hoyer AP, Kjoller K, Olsen JH (2003) Incidence and severity of short-term complications after breast augmentation: results from a nationwide breast implant registry. Ann Plast Surg 51:531–539

    Article  PubMed  Google Scholar 

  9. Siggelkow W, Faridi A, Spiritus K, Klinge U, Rath W, Klosterhalfen B (2003) Histological analysis of silicone breast implant capsules and correlation with capsular contracture. Biomaterials 24:1101–1109

    Article  PubMed  CAS  Google Scholar 

  10. Wolfram D, Rainer C, Niederegger H, Piza H, Wick G (2004) Cellular and molecular composition of fibrous capsules formed around silicone breast implants with special focus on local immune reactions. J Autoimmun 23:81–91

    Article  PubMed  CAS  Google Scholar 

  11. Kjøller K, Hölmich LR, Jacobsen PH, Friis S, Fryzek J, McLaughlin JK, Lipworth L, Henriksen TF, Jørgensen S, Bittmann S, Olsen JH (2002) Epidemiological investigation of local complications after cosmetic breast implant surgery in Denmark. Ann Plast Surg 48: 229–237

    Article  PubMed  Google Scholar 

  12. Rohrich RJ, Adams WP Jr, Beran SJ, Rathakrishnan R, Griffin J, Robinson JB Jr, Kenkel JM (1998) An analysis of silicone gel-filled breast implants: diagnosis and failure rates. Plast Reconstr Surg 102:2304–2308

    Article  PubMed  CAS  Google Scholar 

  13. Shaaban H, Jmor S, Alvi R (2003) Leakage and silicone lymphadenopathy with cohesive breast implant. Br J Plast Surg 56:518–519

    Article  PubMed  CAS  Google Scholar 

  14. Prebtani AP, Asa SL, Ezzat S (2002) Is granulomatous thyroiditis a complication of breast implants? Endocr Pathol 13:239–244

    Article  PubMed  Google Scholar 

  15. McLaughlin JK, Lipworth L, Murphy DK, Walker PS (2007) The safety of silicone gel-filled breast implants: a review of the epidemiologic evidence. Ann Plast Surg 59:569–580

    Article  PubMed  CAS  Google Scholar 

  16. Tugwell P, Wells G, Peterson J, Welch V, Page J, Davison C, McGowan J, Ramroth D, Shea B (2001) Do silicone breast implants cause rheumatologic disorders? A systematic review for a court-appointed national science panel. Arthritis Rheum 44:2477–2484

    Article  PubMed  CAS  Google Scholar 

  17. Vasey FB, Zarabadi SA, Seleznick M, Ricca L (2003) Where there’s smoke there’s fire: the silicone breast implant controversy continues to flicker: a new disease that needs to be defined. J Rheumatol 30: 2092–2094

    PubMed  Google Scholar 

  18. Asherson RA, Shoenfeld Y, Jacobs P, Bosman C (2004) An unusually complicated case of primary Sjogren’s syndrome: development of transient “lupus-type” auto-antibodies following silicone implant rejection. J Rheumatol 31:196–197

    PubMed  Google Scholar 

  19. Gurvits GE (2006) Silicone pneumonitis after a cosmetic augmentation procedure. N Engl J Med 354:211–212

    Article  PubMed  CAS  Google Scholar 

  20. Varga J, Schumacher HR, Jimenez SA (1989) Systemic sclerosis after augmentation mammoplasty with silicone implants. Cancer Res 111:377–383

    CAS  Google Scholar 

  21. Cunningham BL, Lokeh A, Gutowski KA (2000) Saline-filled breast implant safety and efficacy: a multicenter retrospective review. Plast Reconstr Surg 105: 2143–2149

    Article  PubMed  CAS  Google Scholar 

  22. Hölmich LR, Lipworth L, McLaughlin JK, Friis S (2007) Breast implant rupture and connective tissue disease: a review of the literature. Plast Reconstr Surg 120: 62S–69S

    Article  PubMed  Google Scholar 

  23. McLaughlin JK, Lipworth L, Murphy DK, Walker PS (2007) The safety of silicone gel-filled breast implants: a review of the epidemiologic evidence. Ann Plast Surg 59:569–580

    Article  PubMed  CAS  Google Scholar 

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  1. Anton H. Schwabegger
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  2. Dolores Wolfram-Raunicher
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  3. Evelyn Rabensteiner
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Editors and Affiliations

  1. Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria

    Anton H. Schwabegger MS, MSc, Asso. Prof.

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Schwabegger, A.H., Wolfram-Raunicher, D., Rabensteiner, E. (2011). Complications, special problems. In: Schwabegger, A.H. (eds) Congenital Thoracic Wall Deformities. Springer, Vienna. https://doi.org/10.1007/978-3-211-99138-1_12

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