case_images: PMC3573561_01
case_images: CT image showing extensive destruction of the manubrium
case_images: ATM-8-60-g001.jpg
case_images: PMC3573561_01_ATM-8-60-g001.jpg
case_images: F1
case_images: 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].
case_images: (a) The operative field after the specimen has been resected; (b) The resected specimen
case_images: ATM-8-60-g002.jpg
case_images: PMC3573561_01_ATM-8-60-g002.jpg
case_images: F2
case_images: 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].
case_images: Operative image showing fixation of the titanium bars to the clavicles and 2nd ribs
case_images: ATM-8-60-g003.jpg
case_images: PMC3573561_01_ATM-8-60-g003.jpg
case_images: F3
case_images: The clips were fixed in place using special pliers provided with the STRATOS system [Figure 3].