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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Mikhail I. Perelman Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Perelman, M. I. Search for Related Content PubMed Articles by Perelman, M. I. Related Collections Related Article

Ann Thorac Surg 2000;69:397
© 2000 The Society of Thoracic Surgeons

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Invited Commentaries

^a Russian Centre of Pulmonology, Moscow Medical Academy, 4 Dostoevsky St, Moscow 103030, Russia

Invited commentary

The authors of this article and especially Dr Topcuoglu are to be congratulated on their excellent results: 14 transsternal transpericardial closures of postpneumonectomy bronchial fistulas complicated with empyema without morbidity and immediate mortality. In all patients the empyema was cured without additional surgical procedures.

The opportunity for transsternal transpericardial access in cases of very short right main bronchial stump is shown. In this situation the sleeve resection of the carinal region with subsequent tracheobronchial anastomosis is expedient. It is necessary to pay attention that in all cases the bronchial stump was always deleted. The access to the left bronchial stump between the aorta and vena cava in my point of view is difficult. It is better to allocate to the left the pulmonalis trunk, and then reamputate the stump of the left pulmonalis artery. By the way, my coworker and I applied the transpericardial approach to the left main bronchial stump for the first time in 1961 and described it in 1963 [1]. However, our article is not easily accessible as it is published in Russian.

References

1. Perelman MI, Bogouslavskaja TB. Operative approaches to the tracheobronchial angles for closure of postpneumonectomy bronchial fistulas. In: Actual items of tuberculosis, part 2. Moscow: Central Institute of Posgraduate Education, 1963:169–75 (in Russian).

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Mikhail I. Perelman Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Perelman, M. I. Search for Related Content PubMed Articles by Perelman, M. I. Related Collections Related Article