Bronchial Stump Coverage With a Pedicled Pericardial Flap: An Effective Method for Prevention of Postpneumonectomy Bronchopleural Fistula Shahrokh Taghavi,

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Presentation transcript:

Bronchial Stump Coverage With a Pedicled Pericardial Flap: An Effective Method for Prevention of Postpneumonectomy Bronchopleural Fistula Shahrokh Taghavi, MD, Gabriel M. Marta, MD, Georg Lang, MD, Gernot Seebacher, MD, Gunther Winkler, MD, Katharina Schmid, MD, Walter Klepetko, MD The Annals of Thoracic Surgery Volume 79, Issue 1, Pages 284-288 (January 2005) DOI: 10.1016/j.athoracsur.2004.06.108 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A pedicled pericardial flap is attached, caplike, to a left bronchial stump with single mattress stitches of 4-0 polydioxanon. (PP = pericardiophrenic patch; BS = bronchial stump; Es = esophagus.) (B) Schematic illustration of left mediastinum with pericardiophrenic patch to cover left bronchial stump. The Annals of Thoracic Surgery 2005 79, 284-288DOI: (10.1016/j.athoracsur.2004.06.108) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Kaplan-Meier survival analysis of 93 patients who underwent pneumonectomy and had bronchial stump coverage with a pericardial flap, between July 1988 and March 2003. Numbers in parentheses represent patients at risk. The Annals of Thoracic Surgery 2005 79, 284-288DOI: (10.1016/j.athoracsur.2004.06.108) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Bronchoscopic view of a dehiscent bronchial stump, covered by pericardial patch. The patch remains intact and prevents communication of the bronchial system with the left thoracic cavity. The Annals of Thoracic Surgery 2005 79, 284-288DOI: (10.1016/j.athoracsur.2004.06.108) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions