HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Gilbert Massard Pascal Thomas Pierre Riera Roger Giudicelli Eugène Reboud Georges Morand Pierre A. Fuentes Jean-Marie Wihlm Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Massard, G. Articles by Wihlm, J.-M. Search for Related Content PubMed PubMed Citation Articles by Massard, G. Articles by Wihlm, J.-M. Related Collections Related Articles

Ann Thorac Surg 1997;64:220-225
© 1997 The Society of Thoracic Surgeons

---

Original Articles: General Thoracic

Long-Term Complications of Extraperiosteal Plombage

Department of Thoracic Surgery, University Hospital of Strasbourg, Strasbourg, and Department of Thoracic Surgery, Hôpital Sainte Marguerite, Marseille, France

Accepted for publication January 28, 1997.

Background. As soon as complications due to migration of extraperiosteal plombage material had been documented, early removal became the rule. Some patients who have escaped this rule may still present with long-term complications.

Methods. Since 1980, 14 patients aged 54 ± 10 years were admitted 28 ± 11 years after collapse therapy. Eight presented with signs of infection, 4 with hemoptysis, and 2 with periscapular pain. Vascular erosion, suspected in 3 patients, was demonstrated with angiograms in 1.

Results. Ablation of the material was combined with excision of the devitalized ribs in 13 patients. Femorofemoral bypass was used in 2 patients for repair of an aortic erosion. Single ablation of subcutaneously migrated material was performed in a poor-risk patient. Operative bleeding was moderate except in 2 patients; 1 of them died intraoperatively during repair of an aortic erosion. A second patient died postoperatively with a massive pulmonary embolus on day 11. Infection was diagnosed in 8 patients (Mycobacterium tuberculosis, 4; and pyogens, 4). Operative outcome was satisfactory in all 12 operative survivors. A single patient presented with an infected apical space at 1 year and underwent complementary resection of the first rib.

Conclusions. We recommend routine ablation of any residual plombage material whenever operative risk is acceptable because of the high incidence of spontaneous complications.

Related Articles

Invited Commentary

Marvin Pomerantz
Ann. Thorac. Surg. 1997 64: 224-225. [Extract] [Full Text]

This article has been cited by other articles:

				D. Weissberg and D. Weissberg-Kasav Foreign Bodies in Pleura and Chest Wall Ann. Thorac. Surg., September 1, 2008; 86(3): 958 - 961. [Abstract] [Full Text] [PDF]

				F. Bertin, L. Labrousse, V. Gazaille, F. Vincent, A. Guerlin, and M. Laskar New Modality of Collapse Therapy for Pulmonary Tuberculosis Sequels: Tissue Expander Ann. Thorac. Surg., September 1, 2007; 84(3): 1023 - 1025. [Abstract] [Full Text] [PDF]

				D Patsios, M de Perrot, M-S Tsao, and G Weisbrod Epithelioid angiosarcoma of the lung: a rare late complication of Lucite plombage. Br. J. Radiol., July 1, 2006; 79(943): e36 - e39. [Abstract] [Full Text] [PDF]

				D. Weissberg and D. Weissberg Late Complications of Collapse Therapy for Pulmonary Tuberculosis Chest, September 1, 2001; 120(3): 847 - 851. [Abstract] [Full Text] [PDF]

				M.-Y. Jeung, A. Gangi, B. Gasser, C. Vasilescu, G. Massard, J.-M. Wihlm, and C. Roy Imaging of Chest Wall Disorders RadioGraphics, May 1, 1999; 19(3): 617 - 637. [Abstract] [Full Text] [PDF]