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Ann Thorac Surg 1978;25:491-499
© 1978 The Society of Thoracic Surgeons
Division of Thoracic and Cardiovascular Surgery, University of Maryland School of Medicine, Baltimore, MD
* Address reprint requests to Dr. Hankins, University of Maryland Hospital, Baltimore, MD 21201
Nineteen patients with bronchopleural fistulas associated with tuberculosis and 2 patients with fistulas following resection for bronchiectasis underwent closure of the fistulas with pedicled flaps of chest wall muscle. The muscle grafting was combined with a limited thoracoplasty in 13 patients. The initial myoplasty produced prompt fistula closure in 15 patients and delayed closure in 2 others. A repeat myoplasty was successful in 2 patients in whom the initial myoplasty failed. Compared with other methods of treating bronchopleural fistulas used during the same period, muscle grafting carried a higher rate of successful fistula closure and a lower mortality rate.
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