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Ann Thorac Surg 2007;84:1023-1025
© 2007 The Society of Thoracic Surgeons

Case Reports

New Modality of Collapse Therapy for Pulmonary Tuberculosis Sequels: Tissue Expander

François Bertin, MDa,*, Louis Labrousse, MDa, Virgile Gazaille, MDb, François Vincent, MDb, Antoine Guerlin, MDa, Marc Laskar, MDa

a Department of Thoracic and Cardiovascular Surgery and Angiology, Centre Hospitalier Universitaire Limoges, Limoges, France
b Department of Pulmonary Diseases, Centre Hospitalier Universitaire Limoges, Limoges, France

Accepted for publication April 2, 2007.

* Address correspondence to Dr Bertin, Department of Thoracic and Cardiovascular Surgery and Angiology, Centre Hospitalier Universitaire Limoges, 2 Avenue Martin Luther King, Limoges, 87042, France (Email: francois.bertin{at}chu-limoges.fr).

Classical collapse therapy with extrapleural Lucite balls placement used for tuberculosis sequelae is associated with long term complications, such as migration of the foreign body. We report a new modality of collapse therapy for tuberculosis cavitation which may avoid this complication and which uses percutaneous tissue expanders. Postoperative course was uneventful and mid term follow-up confirmed the functional improvement without recurrence of the infection. This new modality of post-tuberculosis collapse therapy may allow treatment with fewer physical and physiologic sequelae of the residual cavities, and should reduce long term complications such as migration.






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