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Treatment of Empyema and Bronchopleural Fistula by Bovine Pericardium and Latissimus Flap  Yuan-Ming Tsai, MD, Shao-Liang Chen, MD, Chih-Ming Hsieh, MD,

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Presentation on theme: "Treatment of Empyema and Bronchopleural Fistula by Bovine Pericardium and Latissimus Flap  Yuan-Ming Tsai, MD, Shao-Liang Chen, MD, Chih-Ming Hsieh, MD,"— Presentation transcript:

1 Treatment of Empyema and Bronchopleural Fistula by Bovine Pericardium and Latissimus Flap 
Yuan-Ming Tsai, MD, Shao-Liang Chen, MD, Chih-Ming Hsieh, MD, Cheng-Kuang Chang, MD, Ching Tzao, MD, PhD  The Annals of Thoracic Surgery  Volume 95, Issue 2, Pages e39-e40 (February 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Chest computed tomography image shows an empyema cavity (white arrow) with a draining chest tube in place (arrowhead) and a suspicious bronchopleural fistula (black arrow) at the lateral aspect of the right lower lobe. The Annals of Thoracic Surgery  , e39-e40DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The empyema cavity with a bronchopleural fistula (BPF) was obliterated using fibrin glue with buttressed bovine pericardium and pedicled latissmus dorsi muscle flap. (A) Thoracotomy demonstrated an empyema cavity (arrow) and a BPF (arrowhead). (B) The BPF, measuring 1.5 cm in diameter, was identified at the lateral aspect of the superior segment of the right lower lobe (arrow). (C) The BPF was sealed using fibrin glue, followed by buttressing with a piece of bovine pericardium (arrow). (D) The pedicled right latissimus dorsi muscle flap was prepared, and then (E) it was transposed to fill the empyema cavity. The Annals of Thoracic Surgery  , e39-e40DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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