TY - JOUR
T1 - Protection of right pneumonectomy bronchial sutures with a pedicled thymus flap
AU - Infante, Maurizio V.
AU - Alloisio, Marco
AU - Balzarini, Luca
AU - Cariboni, Umberto
AU - Testori, Alberto
AU - Incarbone, Matteo A.
AU - Macri, Paolo
AU - Ravasi, Gianluigi
PY - 2004/1
Y1 - 2004/1
N2 - A pedicled flap obtained by mobilizing the right lobe of the thymus was used to protect bronchial sutures in 29 consecutive patients undergoing a right pneumonectomy and in 4 additional patients. Fourteen patients had received preoperative chemotherapy with or without radiotherapy. The flap procedure was, in general, easy to do, required an average time of 20.4 minutes, and did not cause added operative morbidity. Postoperative magnetic resonance imaging, performed in 21 of the 29 patients who had pneumonectomy, showed a viable flap in every instance. One bronchopleural fistula occurred in a pneumonectomy patient after induction chemotherapy plus radiotherapy in a patient in the pneumonectomy group in whom adult respiratory distress syndrome developed postoperatively and who required prolonged mechanical ventilation.
AB - A pedicled flap obtained by mobilizing the right lobe of the thymus was used to protect bronchial sutures in 29 consecutive patients undergoing a right pneumonectomy and in 4 additional patients. Fourteen patients had received preoperative chemotherapy with or without radiotherapy. The flap procedure was, in general, easy to do, required an average time of 20.4 minutes, and did not cause added operative morbidity. Postoperative magnetic resonance imaging, performed in 21 of the 29 patients who had pneumonectomy, showed a viable flap in every instance. One bronchopleural fistula occurred in a pneumonectomy patient after induction chemotherapy plus radiotherapy in a patient in the pneumonectomy group in whom adult respiratory distress syndrome developed postoperatively and who required prolonged mechanical ventilation.
KW - Bronchopleural fistula
KW - Pneumonectomy
KW - Thymus flap
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U2 - 10.1016/S0003-4975(03)00892-0
DO - 10.1016/S0003-4975(03)00892-0
M3 - Article
C2 - 14726103
AN - SCOPUS:1642564174
VL - 77
SP - 351
EP - 353
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 1
ER -