Abstract
We report a rare case of a 75-year-old hemiplegic man with a chronic pleural infection, a bronchopleural fistula, and a full-thickness defect of the chest. In one operation we performed open-window thoracostomy and pleural decortication as well as reconstruction of the chest defect and reclosure of the bronchopleural fistula with a latissimus dorsi muscle flap. The patient made a good recovery and was sent for rehabilitation in good condition. Surgical treatment was essential to control and ultimately halt the septic process. Use of a muscle transplant in a hemiplegic patient did not reduce mobility.
Similar content being viewed by others
References
MG Yuste G Ramos JL Duque F Heras M Castanedo LJ Cerezal et al. (1998) ArticleTitleOpen-window thoracostomy and thoracomyoplasty to manage chronic pleural empyema Ann Thorac Surg 65 818–22 Occurrence Handle10.1016/S0003-4975(97)01386-6
S Robinson (1915) ArticleTitleThe treatment of chronic-non empyema Collect Pap Mayo Clin Mayo Found 7 618–44
PG Arnold PC Pairolero (1990) ArticleTitleIntrathoracic muscle flaps: an account of their use in the managment of 100 consecutive patients Ann Surg 211 656–60 Occurrence Handle2357128 Occurrence Handle1:STN:280:DyaK3c3ptVejtg%3D%3D
JF Regnard M Alifano P Puyo E Fares P Magdeleinat P Levasseur (1983) ArticleTitleOpen window thoracostomy followed by intrathoracic flap transposition in the treatment of empyema complicating pulmonary resection J Thorac Cardiovasc Surg 86 818–22
H Koch F Tomaselli G Pierer F Schwarzl F Haas FM Smolle-Juttner et al. (2002) ArticleTitleThoracic wall reconstruction using both portions of the latissimus dorsi previously divided in the course of posterolateral thoracotomy Eur J Cardiothorac Surg 21 874–8 Occurrence Handle12062278 Occurrence Handle10.1016/S1010-7940(02)00070-2
HU Steinau D Hebebrand P Vogt F Peter R Tosson (1997) ArticleTitlePlastic surgery reconstruction of thoracic-wall defects Chirurg 68 461–8 Occurrence Handle9303834 Occurrence Handle1:STN:280:DyaK2szkvF2mtg%3D%3D Occurrence Handle10.3816/CLM.2005.n.003
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pichler, M., Albrecht, J. & Padberg, W. Chest wall defect and chronic pleural infection: surgical treatment with thoracomyoplasty and open window thoracostomy. Jpn J Thorac Cardiovasc Surg 54, 402–404 (2006). https://doi.org/10.1007/s11748-006-0016-3
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s11748-006-0016-3