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The Annals of Thoracic Surgery, Vol 43, 359-362, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

A modified pectoralis muscle flap for closure of postpneumonectomy esophagopleural fistula: technique and results

HJ Mud, H van Houten, R Slingerland, P Sonneveld and S Kho

In surgical treatment of late postpneumonectomy esophagopleural fistula, closure of the empyema space is of prime importance. A wide thoracoplasty and ample decapitation of the empyema cavity allow sufficient room for a modified pectoralis muscle flap, which provides sufficient mass to obliterate the entire empyema cavity. We present the cases of 2 patients in whom an esophagopleural fistula occurring 3 and 16 years after pneumonectomy was successfully closed by this method.




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Copyright © 1987 by The Society of Thoracic Surgeons.