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Marc Riquet
Antoine Chehab
Redha Souilamas
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Ann Thorac Surg 1998;66:1824-1825
© 1998 The Society of Thoracic Surgeons

How to Do It

Elective drainage of the apical chest by posterior approach

Marc Riquet, MDa, Antoine Chehab, MDa, Redha Souilamas, MDa, Francoise Le Pimpec-Barthes, MDa, Bernard Debesse, MDa

a Service de Chirurgie Thoracique, Hôpital Laennec, Paris, France

Accepted for publication June 9, 1998.

Address reprint requests to Dr Riquet, Service de Chirurgie Thoracique, Hôpital Laennec, 42 rue de Sèvres, 75007 Paris, France
e-mail: (marc.riquet{at}Inc.ap-hop-paris.fr)

Pneumothorax due to incomplete reexpansion of remaining lung after a thoracic operation is difficult to drain via standard access routes. Apical chest drainage can be placed through a upper posterior point of the back, located in the laterovertebral area at the level of the first or second intercostal space. This technique, which is very safe and well tolerated, avoids the necessity to use thoracoplasty or muscle flap plombage of those residual cavities.




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