Thoracoscopic sympathetic clamping in a patient with an azygos fissure.
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.
Moon
Seok Whan
SW
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
Yoon
Jeong Sub
JS
Jo
Keon Hyeon
KH
Wang
Young Pil
YP
Park
Hyeon Jin
HJ
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