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Ann Thorac Surg 1991;51:302-303
© 1991 The Society of Thoracic Surgeons

Articles

Total unilateral lung gangrene in Hodgkin's diseases treatment by thoracostomy

F.M. Juettner, MD*, K. Arian-Schad, MD, I. Kraus, MD, G. Gallhofer, MD, H. Popper, MD, G. Friehs, MD

Departments of Thoracic and Hyperbaric Surgery, Radiotherapy, and Pathology, and III Division of Medical Oncology, University of Graz, Graz, Austria

Accepted for publication July 19, 1990.

* Address reprint requests to Dr Juettner, Department of Thoracic and Hyperband Surgery, University Medical School of Graz, A-8036 Graz, Austria.

Total gangrene of the left lung developed in a 30-year-old male patient with a pulmonary recurrence of Hodgkin's disease after mediastinal irradiation and chemotherapy. Clinically, tension pyopneumothorax and severe septic shock were present. Surgical repair was done by thoracostomy, resecting three ribs. A 2 x 0.5-cm hole in the necrotic wall of the left main bronchus was covered with an intercostal muscle bundle. The necrotic pleural surfaces were treated openly by daily change of dressings. The patient recovered satisfactorily and underwent four further courses of chemotherapy without any complications.




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Y. Refaely and D. Weissberg
Gangrene of the Lung: Treatment in Two Stages
Ann. Thorac. Surg., October 1, 1997; 64(4): 970 - 973.
[Abstract] [Full Text]


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