Late-onset post-pneumonectomy empyema.

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Late onset postpneumonectomy empyema presenting 24 years after pneumonectomy.

Empyema is a devastating complication that is rarely seen in the postpneumonectomy setting. A 56-year-old man presented to us 24 years after pneumonectomy with a 15 days history of chest pain and shortness of breath. Physical examination revealed a fluctuant swelling at the thoracotomy site. Computed tomography scan showed a large fluid density mass in the left pneumonectomy space. Needle aspir...

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eComment. post-pneumonectomy empyema with bronchopleural fistula.

Andreetti et al. regarding the treatment of post-pneumonectomy bronchopleural fistula (PPBPF) by self-expandable stent and we agree that this modality can be in the armamentarium of cardiothoracic surgeons [1]. PPBPF is one of the most serious and lethal complications in thoracic surgery. There are well-known predisposing factors related to this devastating postoperative complication such as ex...

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Treatment of post pneumonectomy pleural empyema by open window thoracostomy.

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Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema

BACKGROUND Post-pneumonectomy empyema is a major therapeutic challenge in thoracic surgery. The presence or absence of a concomitant bronchopleural fistula directs treatment of this condition. When there is no bronchopleural fistula the condition is classically treated with thoracostomy drainage, irrigation and antibiotic instillation with closure. This approach is, however, associated with a s...

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Caveats in using vacuum-assisted closure for post-pneumonectomy empyema.

OBJECTIVES Vacuum-assisted closure (VAC) of chronic empyemas can potentially set challenging patients free of prolonged hospitalization by warranting outpatient care. We wanted to test this concept in post-pneumonectomy empyema patients. METHODS Three patients with post-pneumonectomy bronchopleural fistula were subjected to open window thoracostomy (OWT) and subsequently to VAC. The BPFs were...

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ژورنال

عنوان ژورنال: Thorax

سال: 1977

ISSN: 0040-6376

DOI: 10.1136/thx.32.2.149