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Eur J Cardiothorac Surg 2001;19:930
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

A different surgical approach to the treatment for early stage bronchopleural fistulas

M. Cumhur Sivrikoza, Salih Topçub, Velit Halitc, Erhan Ilgitc

a Gaziantep University Medical Faculty, Gaziantep, Turkey
b Atatürk Chest Disease and Thoracic Surgery Center, Ankara, Turkey
c Gazi University Medical Faculty, Ankara, Turkey

Received 17 October 2000; received in revised form 2 March 2001; accepted 23 March 2001.

Corresponding author. Gaziantep Üniversitesi Tip Fakültesi, Gögüs Kaip ve Damar Cerrahisi A.B.D., 27070 Kolejtepe-Gaziantep, Turkey. Fax: +90-342-339-8685

Key Words: Bronchopleural fistulas • Pneumonectomy

The bronchial fistula which was detected early after pneumonectomy was successfully repaired with intercostal muscle flap. We used an enduring pedicle that preserved the distal and proximal ends aimed to contribute unique circulation.

The circulation of 5th intercostal vascular structure of pedicle was controlled with angiography 1 month after the operation (arrow signs 5th intercostal artery). The vascular structure of pedicle was intact. The patient is still alive and healthy (Fig. 1).



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  		Fig. 1. Circulation of the 5th intercostal arterial structure after 1 month from the operation.

 




This Article
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Velit Halit
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Right arrow Articles by Sivrikoz, M. C.
Right arrow Articles by Ilgit, E.
Related Collections
Right arrow Lung - other
Right arrow Pleura

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