Pericardial Fat Filling Method for Intractable Secondary Spontaneous Pneumothorax

被引:0
作者
Takamori, Satoshi [1 ,2 ]
Nakatsuka, Marina [1 ]
Endo, Makoto [1 ]
机构
[1] Yamagata Prefectural Cent Hosp, Dept Gen Thorac Surg, Yamagata, Japan
[2] Yamagata Univ, Fac Med, Dept Surg 2, Yamagata, Japan
关键词
pericardial fat; secondary spontaneous pneumothorax; video-assisted thoracoscopic surgery;
D O I
10.1111/ases.70109
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The treatment of intractable secondary spontaneous pneumothorax is challenging. A 74-year-old man with combined pulmonary fibrosis and emphysema developed a left secondary pneumothorax. The perforated bullae were ligated during the first surgery; however, the pneumothorax recurred. During the second surgery, the pulmonary fistula was filled with pericardial fat, and the fistula was sutured closed using a pericardial fat pad. No air leakage or recurrence was observed postoperatively. This novel method may effectively seal pulmonary fistulas causing intractable secondary spontaneous pneumothorax.
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页数:3
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