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Ann Thorac Surg 2007;84:1762-1764. doi:10.1016/j.athoracsur.2007.05.052
© 2007 The Society of Thoracic Surgeons
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Christian Porubsky
Alfred Maier
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Case Reports

Intrathoracic Insertion of the VAC Device in a Case of Pleural Empyema 20 Years After Pneumonectomy

Veronika Matzi, MD, Joerg Lindenmann, MD*, Christian Porubsky, MD, Nicole Neuboeck, MD, Alfred Maier, MD, Freyja Maria Smolle-Juettner, MD

Division of Thoracic and Hyperbaric Surgery, Department of General Surgery, Medical University Graz, Graz, Austria

Accepted for publication May 18, 2007.

* Address correspondence to Dr Lindenmann, Division of Thoracic and Hyperbaric Surgery, Department of General Surgery, Medical University Graz, Auenbruggerplatz 29, Graz, 8036, Austria (Email: jo.lindenmann{at}meduni-graz.at).

We report a 72-year-old man suffering from pleural empyema after pneumonectomy due to nonsmall cell lung cancer 20 years previously. Insufficiency of the bronchial stump was ruled out by bronchoscopy and bronchography. Thoracic computed tomographic scan of the thorax detected an abscess located in the subcutaneous tissue of the right ventrolateral chest wall originating from severe pyogenic osteomyelitis of the fifth and sixth ribs. Our surgical management included partial resection of the chest wall followed by insertion of the vacuum-assisted closure system into the thoracic cavity. The patient fully recovered and was discharged on postoperative day 32.




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M. Palmen, H. N. A.M. van Breugel, G. G. Geskes, A. van Belle, J. M.H. Swennen, A. H.M. Drijkoningen, R. R. van der Hulst, and J. G. Maessen
Open window thoracostomy treatment of empyema is accelerated by vacuum-assisted closure.
Ann. Thorac. Surg., October 1, 2009; 88(4): 1131 - 1136.
[Abstract] [Full Text] [PDF]


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