Postpneumonectomy Bronchopleural Fistula Closure With Biologic Mesh and Diaphragm Flap.
The Annals of Thoracic Surgery(2017)
摘要
A 77-year-old man with clinical stage II squamous cell carcinoma underwent right intrapericardial pneumonectomy. After an initially uneventful course he was readmitted with right-sided empyema, bronchopleural fistula, and pulmonary embolus. This was managed with initial resuscitation and anticoagulant agents, followed by debridement and closure of the fistula with biologic mesh reinforced with a pedicled diaphragm muscle flap. (C) 2017 by The Society of Thoracic Surgeons
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