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Case 3: (A) A 69-year-old man suffering from a Pancoast tumor. (B, C) Tumor resection with parts of sternum and ribs including the internal mammary artery, lung, and pericardium. (D, E) Reconstruction of the pericardium and thoracic wall with alloplastic material and Marlex mesh. (F–H) Coverage of the sternal defect with free VRAM flap.
