title: Thoracoscopic sympathetic clamping in a patient with an azygos fissure.
abstract: We believe that an azygos fissure may predispose to bleeding during thoracoscopic surgery. An azygos fissure causes important morphologic changes in the superior mediastinum and thereby poses a risk of massive bleeding during thoracoscopic procedures. We report on a successful thoracoscopic procedure conducted in a patient with palmar hyperhidrosis and an azygos fissure and emphasize that the course of the thoracic sympathetic chain runs laterally along the base of the azygos fissure.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kang Nam St. Mary Hospital, College of Medicine, The Catholic University of Korea, Banpo-Dong, Socho-ku, Seoul, Republic of Korea. swmoon@catholic.ac.kr
authors.forename: Seok Whan
authors.initials: SW
authors.lastname: Moon
authors.forename: Jeong Sub
authors.initials: JS
authors.lastname: Yoon
authors.forename: Keon Hyeon
authors.initials: KH
authors.lastname: Jo
authors.forename: Young Pil
authors.initials: YP
authors.lastname: Wang
authors.forename: Hyeon Jin
authors.initials: HJ
authors.lastname: Park
mesh_terms: D000328:Adult; D001365:Axilla / Q000294:innervation; D001401:Azygos Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000293:injuries; D006225:Hand / Q000294:innervation; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D013562:Sympathectomy; D020775:Thoracic Surgery, Video-Assisted; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed