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Ann Thorac Surg 2000;70:987-989
© 2000 The Society of Thoracic Surgeons

How to do it

Wedge carinal resection for closure of the main bronchus after pneumonectomy

Hossein Fahimi, MDa, Filip Casselman, MDa, Massimo A. Mariani, MD, PhDa, Wim Jan van Boven, MDa, Henry van Swieten, MD, PhDa

a Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands

Address reprint requests to Dr van Swieten, Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands

Closure of the bronchial stump after pneumonectomy can be challenging. Some special situations such as tumor extension, technical pitfalls, or poor tissue quality of the bronchial stump may preclude safe closure of the airway with standard techniques. We describe here a technique of wedge carinal resection that provides the surgeon an alternative whenever the standard closure of the stump is inapplicable. This technique has been successfully used in a series of 4 patients.




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[Abstract] [Full Text] [PDF]


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