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1.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 406-409, 2018.
Article Dans Anglais | WPRIM | ID: wpr-718911

Résumé

Aortocaval fistula (ACF) occurs in < 1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Surgery is the main treatment modality. We report successful surgical treatment in a patient with a ruptured AAA with ACF who presented with cardiogenic shock.


Sujets)
Humains , Douleur abdominale , Anévrysme de l'aorte abdominale , Fistule artérioveineuse , Oedème , Fistule , Arrêt cardiaque , Défaillance cardiaque , Hypertension artérielle , Oligurie , Choc , Choc cardiogénique , Thrombose
2.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 114-118, 2017.
Article Dans Anglais | WPRIM | ID: wpr-169845

Résumé

Kimura disease (KD) is an immune-mediated chronic inflammatory disease of unknown etiology. KD has many complications associated with hypereosinophilia, including various forms of allergic reactions and eosinophilic lung disease. Additionally, hypereosinophilia is associated with hypercoagulability, which may lead to thromboembolic events. A 36-year-old man with KD presented with acute limb ischemia and coronary artery occlusion. He underwent thrombectomy, partial endarterectomy of both popliteal arteries, and coronary artery stent insertion. KD is a systemic disease that affects many organs and presents with thromboembolism and vasculitis. In a patient with KD, physicians should evaluate the vascular system, including the coronary arteries.


Sujets)
Adulte , Humains , Hyperplasie angiolymphoïde avec éosinophilie , Maladie des artères coronaires , Sténose coronarienne , Vaisseaux coronaires , Endartériectomie , Granulocytes éosinophiles , Membres , Hypersensibilité , Ischémie , Maladies pulmonaires , Artère poplitée , Endoprothèses , Thrombectomie , Thromboembolie , Thrombophilie , Vascularite
3.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 436-442, 2017.
Article Dans Anglais | WPRIM | ID: wpr-175188

Résumé

BACKGROUND: Dissection flaps in acute type A aortic dissection typically extend into the root, most frequently into the non-coronary sinus (NCS). The weakened root can be susceptible not only to surgical trauma, but also to future dilatation because of its thinner layers. Herein, we describe a new technique that we named the “neo-adventitia” technique to strengthen the weakened aortic root. METHODS: From 2012 to 2016, 27 patients with acute type A aortic dissection underwent supracommissural graft replacement using our neo-adventitia technique. After we applied biologic glue between the dissected layers, we wrapped the entire NCS and the partial left and right coronary sinuses on the outside using a rectangular Dacron tube graft that served as neo-adventitia to reinforce the dissected weakened wall. Then, fixation with subannular stitches stabilized the annulus of the NCS. RESULTS: There were 4 cases of operative mortality, but all survivors were discharged with aortic regurgitation (AR) classified as mild or less. Follow-up echocardiograms were performed in 10 patients. Of these, 9 showed mild or less AR, and 1 had moderate AR without root dilatation. There were no significant differences in the size of the aortic annulus (p=0.57) or root (p=0.10) between before discharge and the last follow-up echocardiograms, and no reoperations on the aortic roots were required during the follow-up period. CONCLUSION: This technique is easy and efficient for reinforcing and stabilizing weakened roots. Furthermore, this technique may be an alternative for restoring and maintaining the geometry of the aortic root. An externally reinforced NCS could be expected to resist future dilatation.


Sujets)
Humains , Adhésifs , Aorte , Insuffisance aortique , Procédures de chirurgie cardiaque , Sinus coronaire , Dilatation , Études de suivi , Mortalité , Téréphtalate polyéthylène , Sinus de l'aorte , Survivants , Transplants
4.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 190-196, 2017.
Article Dans Anglais | WPRIM | ID: wpr-111248

Résumé

BACKGROUND: The feasibility of single-port video-assisted thoracic surgery (SPVATS) for primary lung cancer is not well understood. In this study, we compared SP and multi-port (MP) VATS for the surgical treatment of patients with primary lung cancer. METHODS: Surgical treatment was performed in 181 patients with primary lung cancer at Inje University Haeundae Paik Hospital between June 2012 and December 2015. A propensity-matched analysis was used to compare the postoperative outcomes and to evaluate the comparative feasibility and safety of SPVATS and MPVATS. RESULTS: There were 37 patients in the SPVATS group and 67 patients in the MPVATS group. Propensity matching produced 32 pairs. The operation time (210 minutes versus 200 minutes, p=0.11), volume of the estimated blood loss (170 mL versus 160 mL, p=0.19), duration of chest tube drainage (5 days versus 6 days, p=0.66), and length of hospital stay (9 days versus 10 days, p=0.89) were similar between the 2 groups. CONCLUSION: In our study, SPVATS for primary lung cancer was safe and feasible in well selected patients. A prospective, randomized study with a large group and long-term follow-up is necessary to evaluate the clinical feasibility and the advantages of SPVATS for primary lung cancer.


Sujets)
Humains , Drains thoraciques , Drainage , Études de suivi , Durée du séjour , Tumeurs du poumon , Poumon , Études prospectives , Chirurgie thoracique vidéoassistée
5.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 285-288, 2015.
Article Dans Anglais | WPRIM | ID: wpr-189933

Résumé

In coronary artery bypass grafting, a diffusely diseased left anterior descending coronary artery (LAD) is an obstacle to achieving complete revascularization, consequently leading to the possibility of a poor prognosis. Long segmental reconstruction with or without endarterectomy is a revascularization method for treating diffusely diseased coronary arteries. Herein, we report a successful case of long segmental reconstruction of a diffusely diseased LAD using a left internal thoracic artery onlay patch after endarterectomy.


Sujets)
Pontage aortocoronarien , Maladie des artères coronaires , Vaisseaux coronaires , Endartériectomie , Inlays , Artères mammaires , Pronostic
6.
Vascular Specialist International ; : 33-37, 2014.
Article Dans Anglais | WPRIM | ID: wpr-224809

Résumé

PURPOSE: Preservation of adequate vascular access is of vital importance for patients undergoing chronic dialysis in renal failure. The aim of this study is to evaluate the successful access rate and risk factors of arteriovenous fistula (AVF) in the arm for dialysis at a single center. MATERIALS AND METHODS: Patients undergoing vascular access operation between January 2006 and December 2011 were retrospectively identified. RESULTS: A total of 362 vascular access operations were performed. There were 338 autologous AVFs (93.4%) and 24 prosthetic grafts (6.6%). Men comprised 58.3% of all subjects. Mean age was 59.5+/-14.7 years. There were 187 diabetes mellitus patients (51.7%). There was a mean duration of 70.3+/-21.1 days between access creation to first cannulation. Overall successful access rate for dialysis was 95.9%. Of 338 autologous AVFs, 326 patients had patent AVFs for dialysis (96.4% surgical success rate), while 21 of 24 prosthetic grafts were patent (87.5% surgical success rate). A total of 141 patients (38.9%) came to surgery with preoperative central venous catheters (CVC) of which 130 (35.9%) AVFs had a patent fistula in the arm. The only risk factor related to successful access rate of AVF was preoperative CVC placement (P=0.012). CONCLUSION: Successful vascular access rate was 95.9%. The only risk factor related to patent access of AVF was preoperative CVC placement. At least 6 months prior to expected dialysis, AVF surgery is recommended, which may overcome the challenge of co-morbid conditions from having a preoperative CVC.


Sujets)
Humains , Mâle , Bras , Fistule artérioveineuse , Cathétérisme , Voies veineuses centrales , Diabète , Dialyse , Fistule , Insuffisance rénale , Études rétrospectives , Facteurs de risque , Transplants
7.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 384-388, 2014.
Article Dans Anglais | WPRIM | ID: wpr-156570

Résumé

BACKGROUND: Recently, single-port video-assisted thoracic surgery (VATS) has been proposed as an alternative to the conventional three-port VATS for primary spontaneous pneumothorax (PSP). The aim of this study is to evaluate the early outcomes of the single-port VATS for PSP. METHODS: VATS was performed for PSP in 52 patients from March 2012 to March 2013. We reviewed the medical records of these 52 patients, retrospectively. Nineteen patients underwent the conventional three-port VATS (three-port group) and 33 patients underwent the single-port VATS (single-port group). Both groups were compared according to the operation time, number of wedge resections, amount of chest tube drainage during the first 24 hours after surgery, length of chest tube drainage, length of hospital stay, postoperative pain score, and postoperative paresthesia. RESULTS: There was no difference in patient characteristics between the two groups. There was no difference in the number of wedge resections, operation time, or amount of drainage between the two groups. The mean lengths of chest tube drainage and hospital stay were shorter in the single-port group than in the three-port group. Further, there was less postoperative pain and paresthesia in the single-port group than in the three-port group. These differences were statistically significant. The mean size of the surgical wound was 2.10 cm (range, 1.6 to 3.0 cm) in the single-port group. CONCLUSION: Single-port VATS for PSP had many advantages in terms of the lengths of chest tube drainage and hospital stay, postoperative pain, and paresthesia. Single-port VATS is a feasible technique for PSP as an alternative to the conventional three-port VATS in well-selected patients.


Sujets)
Humains , Drains thoraciques , Drainage , Durée du séjour , Dossiers médicaux , Douleur postopératoire , Paresthésie , Pneumothorax , Études rétrospectives , Chirurgie thoracique vidéoassistée , Plaies et blessures
8.
Vascular Specialist International ; : 19-25, 2014.
Article Dans Anglais | WPRIM | ID: wpr-47139

Résumé

PURPOSE: To evaluate the outcomes of juxtarenal aortic occlusion (JRAO), a review of 15 patients who underwent aortic bypass replacement following aortorenal thrombectomy, especially focusing on the safety of suprarenal aortic clamping or transient aortic compression, was undertaken. MATERIALS AND METHODS: During the period of June 2001 to November 2012, 15 patients with JRAO (chronic 10, acute 5) were analyzed retrospectively. JRAO with combined stenosis of the renal artery was found in 2 patients, renal artery thrombus in 8 patients, and normal in 5 patients. RESULTS: All patients were males. Mean age was 61.7+/-11.2 years. There were 14 aortobifemoral bypass grafting and 1 aortobiiliac bypass grafting. Six Dacron and 9 PTFE artificial Y-grafts were implanted to the aorta with end-to-end anastomosis in the proximal aorta. Suprarenal aortic clamping was performed in 7 patients, supraceliac clamping in 2 patients, and transient aortic compression in 6 patients. There were 13 cases with aortic clamping time 10 minutes. Thrombectomy of the aorta and renal artery was performed in 10 (66.7%) patients. There were no operative mortality cases. The perioperative morbidity rate was 26.7% (4/15). Preoperative renal function was impaired in four patients. The renal functions of these cases were recovered postoperatively. CONCLUSION: Aortic bypass replacement following aortorenal thrombectomy with suprarenal aortic clamping or transient aortic compression for JRAO is the optimal treatment. It is important to focus on short renal ischemic time during suprarenal aortic clamping for prevention of renal damage. It provides unmatched perioperative and long-term results.


Sujets)
Humains , Mâle , Aorte , Constriction , Sténose pathologique , Mortalité , Téréphtalate polyéthylène , Polytétrafluoroéthylène , Artère rénale , Études rétrospectives , Thrombectomie , Thrombose , Transplants
9.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 174-177, 2014.
Article Dans Anglais | WPRIM | ID: wpr-24179

Résumé

Surgical revascularization for patients with Buerger's disease is possible only in a few cases, due to the diffuse segmental involvement and the lack of distal runoff vessels available for bypass surgery. We encountered a case of resting pain in the right foot, coldness with dysesthesia, and cyanosis on the right 1st toe. The patient was treated with an endovascular intervention after vein patch angioplasty failed due to an inflammatory reaction of Buerger's disease. We suggest that an endovascular procedure can be an effective treatment, even in addition to more conservative and surgical management, in patients with Buerger's disease and critical limb ischemia.


Sujets)
Humains , Angioplastie , Cyanose , Procédures endovasculaires , Membres , Pied , Ischémie , Paresthésie , Thromboangéite oblitérante , Orteils , Veines
10.
Journal of the Korean Society for Vascular Surgery ; : 147-150, 2013.
Article Dans Coréen | WPRIM | ID: wpr-726626

Résumé

There has been an improvement in the prognosis of the tumor thrombi invading the inferior vena cava (IVC) and the right atrium (RA) of the renal cell carcinoma with radical nephrectomy and tumor thrombectomy with the aid of a cardiopulmonary bypass. A 26 year old man was diagnosed with the right renal tumor with a tumor invading the right renal vein and the IVC above the right renal vein to the RA and right venticle. He was presented with dyspnea on the exertion, the ascites and the lower extremity edema due to IVC total obstruction. An acute hepatic failure occurred due to an obstruction of the hepatic vein. She received a radical nephrectomy and a removal of the tumor in the IVC and the right cardiac camber under a hypothermic total circulatory arrest using the cardiopulmonary bypass.


Sujets)
Ascites , Néphrocarcinome , Pontage cardiopulmonaire , Arrêt circulatoire en hypothermie profonde , Dyspnée , Oedème , Atrium du coeur , Ventricules cardiaques , Veines hépatiques , Tumeurs du rein , Défaillance hépatique aigüe , Membre inférieur , Néphrectomie , Pronostic , Veines rénales , Sarcomes , Thrombectomie , Veine cave inférieure
11.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 299-301, 2013.
Article Dans Anglais | WPRIM | ID: wpr-174759

Résumé

Video-assisted thoracic surgery (VATS) is a minimally invasive technique that has many advantages in postoperative pain and recovery time. Because of its advantages, VATS is one of the surgical techniques widely used in patients with lung cancer. Most surgeons perform VATS for lung cancer with three or more incisions. As the technique of VATS has evolved, single-port VATS for lung cancer has been attempted and its advantages have been reported. We describe our experiences of VATS for lung cancer with a single incision in this report.


Sujets)
Humains , Poumon , Tumeurs du poumon , Douleur postopératoire , Chirurgie thoracique vidéoassistée
12.
Journal of Korean Medical Science ; : 485-488, 2013.
Article Dans Anglais | WPRIM | ID: wpr-33018

Résumé

Nowadays, infectious aortitis has become a rare disease thanks to antibiotics, but remains life-threatening. We present a case of a patient with acupuncture-induced infectious aortitis leading to aortic dissection. Chest computed-tomogram scan revealed Stanford type A dissection with pericardial effusion. Under the impression of an impending rupture, emergent surgery was performed. During surgery, infectious aortitis was identified incidentally, so she underwent resection of the infected aorta including surrounding tissues. Then the ascending aorta and hemi-arch were replaced with a prosthetic graft as an in situ fashion. The resected tissue and blood cultures revealed Staphylococcus aureus, so prolonged antibiotherapy was prescribed.


Sujets)
Sujet âgé de 80 ans ou plus , Femelle , Humains , Acupuncture , Antibactériens/usage thérapeutique , Anévrysme de l'aorte thoracique/microbiologie , Aortite/traitement médicamenteux , Pontage cardiopulmonaire , Staphylococcus aureus/isolement et purification , Tomodensitométrie
13.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 178-184, 2013.
Article Dans Anglais | WPRIM | ID: wpr-129702

Résumé

BACKGROUND: Treatment for patent ductus arteriosus (PDA) in premature infants can consist of medical or surgical approaches. The appropriate therapeutic regimen remains contentious. This study evaluated the role of surgery in improving the survival of premature neonates weighing less than 1,500 g with PDA. MATERIALS AND METHODS: From January 2008 to June 2011, 68 patients weighing less than 1,500 g with PDA were enrolled. The patients were divided into three groups: a group managed only by medical treatment (group I), a group requiring surgery after medical treatment (group II), and a group requiring primary surgical treatment (group III). RESULTS: The rate of conversion to surgical methods due to failed medical treatment was 67.6% (25/37) in the patients with large PDA (> or =2 mm in diameter). The number of patients who could be managed with medical treatment was nine which was only 20.5% (9/44) of the patients with large PDA. There was no surgery-related mortality. Group III displayed a statistically significantly low rate of development of bronchopulmonary dysplasia (BPD) (p=0.008). The mechanical ventilation time was significantly longer in group II (p=0.002). CONCLUSION: Medical treatment has a high failure rate in infants weighing less than 1,500 g with PDA exceeding 2.0 mm. Surgical closure following medical treatment requires a longer mechanical ventilation time and increases the incidence of BPD. Primary surgical closure of PDA exceeding 2.0 mm in the infants weighing less than 1,500 g should be considered to reduce mortality and long-term morbidity events including BPD.


Sujets)
Humains , Nourrisson , Nouveau-né , Dysplasie bronchopulmonaire , Persistance du canal artériel , Incidence , Prématuré , Ventilation artificielle
14.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 178-184, 2013.
Article Dans Anglais | WPRIM | ID: wpr-129687

Résumé

BACKGROUND: Treatment for patent ductus arteriosus (PDA) in premature infants can consist of medical or surgical approaches. The appropriate therapeutic regimen remains contentious. This study evaluated the role of surgery in improving the survival of premature neonates weighing less than 1,500 g with PDA. MATERIALS AND METHODS: From January 2008 to June 2011, 68 patients weighing less than 1,500 g with PDA were enrolled. The patients were divided into three groups: a group managed only by medical treatment (group I), a group requiring surgery after medical treatment (group II), and a group requiring primary surgical treatment (group III). RESULTS: The rate of conversion to surgical methods due to failed medical treatment was 67.6% (25/37) in the patients with large PDA (> or =2 mm in diameter). The number of patients who could be managed with medical treatment was nine which was only 20.5% (9/44) of the patients with large PDA. There was no surgery-related mortality. Group III displayed a statistically significantly low rate of development of bronchopulmonary dysplasia (BPD) (p=0.008). The mechanical ventilation time was significantly longer in group II (p=0.002). CONCLUSION: Medical treatment has a high failure rate in infants weighing less than 1,500 g with PDA exceeding 2.0 mm. Surgical closure following medical treatment requires a longer mechanical ventilation time and increases the incidence of BPD. Primary surgical closure of PDA exceeding 2.0 mm in the infants weighing less than 1,500 g should be considered to reduce mortality and long-term morbidity events including BPD.


Sujets)
Humains , Nourrisson , Nouveau-né , Dysplasie bronchopulmonaire , Persistance du canal artériel , Incidence , Prématuré , Ventilation artificielle
15.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 146-149, 2013.
Article Dans Anglais | WPRIM | ID: wpr-13792

Résumé

Mesenteric ischemic symptoms appear only when two of the three major splanchnic arteries from the abdominal aorta are involved. Recently, we encountered a case of chronic mesenteric ischemia in a 50-year-old female patient caused by atherosclerotic obstruction of the celiac trunk and superior mesenteric artery. She was treated with a retrograde bypass graft from the right common iliac artery to the superior mesenteric artery (SMA) in a C-loop configuration. Complete revascularization is recommended for treatment of intestinal ischemia. When the celiac trunk is a not suitable recipient vessel, bypass grafting to the SMA alone appears to be both an effective and durable procedure for treating intestinal ischemia.


Sujets)
Femelle , Humains , Aorte abdominale , Artères , Maladies cardiovasculaires , Glycosaminoglycanes , Artère iliaque , Ischémie , Artère mésentérique supérieure , Transplants , Maladies vasculaires
16.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 377-379, 2013.
Article Dans Anglais | WPRIM | ID: wpr-67167

Résumé

A primary giant cell tumor of the rib is very rare. The most common site of a giant cell tumor arising from the rib is the posterior arc. A giant cell tumor arising from the anterior arc of the rib is extremely rare. The treatment of a giant cell tumor of the rib is not well defined. Generally, a complete surgical resection is performed in a patient with a primary giant cell tumor of the rib. We report a case of a giant cell tumor arising from the anterior arc of the rib that was treated with a wide excision and chest wall reconstruction.


Sujets)
Humains , Tumeurs osseuses , Tumeurs à cellules géantes , Cellules géantes , Côtes , Paroi thoracique
17.
Journal of the Korean Society for Vascular Surgery ; : 217-219, 2012.
Article Dans Coréen | WPRIM | ID: wpr-726670

Résumé

A 71-year-old male patient presented with both popliteal mass and calf claudication for 6 years. He had abruptly developed acute pain in both legs and pale skin color after interpersonal conflict. A preoperative computed tomography angiogram checked in another university hospital showed thrombosed popliteal aneurysms with acute leg ischemia in both legs. The left popliteal aneurysm was exposed with a medial approach. A thrombectomy and bypass from the proximal popliteal artery to the distal popliteal artery was done. Unfortunately the leg ischemia did not improve and below knee amputation was necessary. After transfer to Haeundae Paik Hospital, the right popliteal aneurysm was exposed with a posterior approach. After an aneurysmectomy and popliteal-peroneal bypass with peroneal endarterectomy, the leg ischemia completely resolved. He was discharged without complications. Eighteen months has passed since this operation and the patient's graft still has good patency. In the posterior approach to popliteal aneurysm, we found it possible to exposure vessels extensively including the popliteal aneurysm and it is easy to expose the distal artery. So we highly recommend the posterior approach for large popliteal aneurysm and distal artery bypass.


Sujets)
Sujet âgé , Humains , Mâle , Douleur aigüe , Amputation chirurgicale , Anévrysme , Artériopathies oblitérantes , Artères , Endartériectomie , Membres , Ischémie , Genou , Jambe , Artère poplitée , Peau , Thrombectomie , Transplants
18.
Journal of Cardiovascular Ultrasound ; : 100-102, 2012.
Article Dans Anglais | WPRIM | ID: wpr-210079

Résumé

Aneurysm of the mitral valve, although uncommon, occurs most commonly in association with infective endocarditis of the aortic valve and true mitral valve aneurysm is a rare cause of mitral regurgitation. We report a case with perforated mitral valve aneurysm in the posterior leaflet without concurrent infective endocarditis initially mistaken diagnosis of cystic mass, which was confirmed at operation with successful mitral valve annuloplasty.


Sujets)
Anévrysme , Valve aortique , Échocardiographie , Endocardite , Anévrysme cardiaque , Valve atrioventriculaire gauche , Annuloplastie mitrale , Insuffisance mitrale
19.
Journal of Korean Medical Science ; : 443-445, 2012.
Article Dans Anglais | WPRIM | ID: wpr-25815

Résumé

A 32-yr-old man developed progressive exertional dyspnea 4 yr after blunt chest trauma due to an automobile accident. Two-dimensional echocardiography and computed-tomographic coronary angiography demonstrated a large pseudoaneurysm of the left ventricle and severe tricuspid regurgitation. The patient underwent successful surgical exclusion of the pseudoaneurysm by endoaneurysmal patch closure and repair of the tricuspid valve regurgitation. To the best of our knowledge, this is the first case of these 2 different pathologies presenting late simultaneously after blunt chest trauma and successful surgical repairs in the published literature.


Sujets)
Adulte , Humains , Mâle , Accidents de la route , Faux anévrisme/diagnostic , Coronarographie , Dyspnée/diagnostic , Ventricules cardiaques/anatomopathologie , Blessures du thorax/étiologie , Tomodensitométrie , Valve atrioventriculaire droite , Insuffisance tricuspide/diagnostic
20.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 340-343, 2010.
Article Dans Coréen | WPRIM | ID: wpr-223905

Résumé

Gastropleural fistula is a rare complication of prior lung surgery, gastric ulcer, trauma and malignancy. A 62 year old female patient who had received surgical repair of a perforated gastric wall 10 years prior, underwent open pleural decortication. At 4 days after surgery, food residuums were noticed at the chest bottles. Hence, an emergency esophagogram was done. The esophagogram revealed a gastropleural fistula. The patient received a total gastrectomy, intra-abdominal diaphragmatic repair and massive thoracic saline irrigation through a previous thoracic wound. The patient was discharged 11 days after surgery without other morbidity.


Sujets)
Femelle , Humains , Urgences , Empyème , Fistule , Gastrectomie , Poumon , Ulcère gastrique , Thorax , Ulcère
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