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Ann Thorac Surg 2001;71:1700-1702
© 2001 The Society of Thoracic Surgeons

Case report

Bronchial anastomotic stricture caused by ossification of an intercostal muscle flap

Maher E. Deeb, MDa, Daniel H. Sterman, MDb, Joseph B. Shrager, MDa, Larry R. Kaiser, MDa

a Section of General Thoracic Surgery, Department of Surgery, Department of Medicine, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA
b Division of Pulmonary, Allergy and Critical Care Medicine, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA

Accepted for publication May 2, 2000.

Address reprint requests to Dr Kaiser, Section of General Thoracic Surgery, University of Pennsylvania Medical Center, 3400 Spruce St, 6th Floor, Silverstein Building, Philadelphia, PA 19104
e-mail: kaiser{at}mail.med.upenn.edu

We report a case of heterotopic ossification of a pedicled intercostal muscle flap that had been wrapped circumferentially around a bronchial sleeve anastomosis. This ossification caused severe bronchial stenosis and recurrent pneumonias. Stent insertion failed, and the patient ultimately required completion pneumonectomy. We recommended that caution be used when wrapping intercostal muscle around any important lumen.


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Ann. Thorac. Surg. 2001 71: 1702. [Extract] [Full Text] [PDF]



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