Bronchial anastomotic stricutre caused by ossification of an intercostal muscle flap.
We report a case of heterotopic ossification of a pedicled intercostal muscle flap that had been wrapped circumferentially around a bronchial sleeve anastomosis. This ossification caused severe bronchial stenosis and recurrent pneumonias. Stent insertion failed, and the patient ultimately required completion pneumonectomy. We recommended that caution be used when wrapping intercostal muscle around any important lumen.
Deeb
M E
ME
Department of Surgery, University of Pennsylvania Medical Center, Philadelphia 19104, USA.
Sterman
D H
DH
Shrager
J B
JB
Kaiser
L R
LR
D000402:Airway Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery; D000714:Anastomosis, Surgical; D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging* / Q000601:surgery; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012086:Reoperation; D013524:Surgical Flaps; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed