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Ann Thorac Surg 1987;43:359-362
© 1987 The Society of Thoracic Surgeons

Articles

A Modified Pectoralis Muscle Flap for Closure of Postpneumonectomy Esophagopleural Fistula: Technique and Results

H.J. Mud, M.D.*, H. van Houten, M.D., R. Slingerland, M.D., P. Sonneveld, M.D., S. Kho, M.D.

Departments of General Surgery and Pulmonary Diseases, University Hospital Rotterdam Dijkzigt, Rotterdam, The Netherlands

Accepted for publication June 10, 1986.

* Address reprint requests to Dr. Mud, Department of General Surgery, 10 M., University Hospital Rotterdam Dijkzigt, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

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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