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Chest wall defect and chronic pleural infection: surgical treatment with thoracomyoplasty and open window thoracostomy
Authors:Maximilian Pichler   Jens Albrecht  Winfried Padberg
Affiliation:Department of General, Visceral, Thoracic, Transplantation, and Pediatric Surgery, Justus Liebig University Giessen, Germany. maximilian.pichler@chiru.med.uni-giessen.de
Abstract:We report a rare case of a 75-year-old hemiplegic man with a chronic pleural infection, a bronchopleural fistula, and a full-thickness defect of the chest. In one operation we performed open-window thoracostomy and pleural decortication as well as reconstruction of the chest defect and reclosure of the bronchopleural fistula with a latissimus dorsi muscle flap. The patient made a good recovery and was sent for rehabilitation in good condition. Surgical treatment was essential to control and ultimately halt the septic process. Use of a muscle transplant in a hemiplegic patient did not reduce mobility.
Keywords:Chronic pleural infection  Chest defect  Hemiplegia  Open-window thoracostomy  Thoracomyoplasty
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