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KMID : 0364019960290010107
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 1 p.107 ~ p.111
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Use of Myocutaneous Flap for the Surgical Treatment of Bronchopleural Fistula
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김철환
박성동/박재홍/강경훈/허용/김병열/이정호
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Abstract
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Persistent bronchopleural fistula (BPE) still presents a troublesome therapeutic challenge and demands an aggressive approach when conventional measures fail. A 50-year-old man had a right pneumonectomy for far-advanced pulmonary tuberculosis
with
the
development of postopneumonectomy empyema and BPF 1 month postoperatively in October 1981. The condition was managed with BPF closure and the Clagett procedure, which failed with the recurrence of BPF and empyema, followed by a spontaneous open
window
at about 1 year postoperatively. The BPF, which had been aggravated to a large size, was managed by the closure and obliteration of the empyema cavity using a Pectoralis-skin pedicled flap 13 years postoper atively on Jul, 1994. The BPF was
controlled
by the procedure, and the patient, with improved respiratory symptom, was discharged 43 days postoperatively. We conclude that the use of myocutaneous flap is an effective procedure for the closure of a large BPF. The surgical technique of the
pedicled
flap operation is described and the case is reported.
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KEYWORD
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