The Annals of Thoracic Surgery: The use of veritas collagen matrix to reconstruct the posterior chest wall after costovertebrectomy.

The Annals of Thoracic Surgery

The Use of Veritas Collagen Matrix to Reconstruct the Posterior Chest Wall After
Costovertebrectomy

Gaetano Rocco, MD, FRCSEd*, Luca Serra, MD, Flavio Fazioli, MD, Stefano Mori, MD, Farrokh Mehrabi-Kermani, MD, Agostino Capasso, MD, Nicola Martucci, MD, Antonello La Rocca, MD, Gaetano Apice, MD

Department of Thoracic Surgery and Services of Neurosurgery, Orthopaedic and Plastic
Surgery and Sarcoma Team, National Cancer Institute, Pascale Foundation, Naples, Italy

Accepted for publication February 28, 2011.

Among the new materials introduced for chest wall reconstruction,the use of collagen matrix is gaining increasing favor for itsbiomechanical properties. We describe the reconstruction ofthe chest wall with Veritas (Synovis, St Paul, MN) collagenmatrix of a posterior chest wall defect after costovertebrectomyfor Ewing’s sarcoma. En bloc resection was performed, includingpartial D7 through D9 vertebrectomy along with
the posterolateralsegments of corresponding ribs. The collagen matrix patch wassutured to the spine stabilizer and the surrounding rib segmentsand was covered by previously raised latissimus dorsi and trapeziusmuscle flaps. Excellent stabilization was obtained.