title: Use of previously divided latissimus dorsi muscle for bronchopleural fistula.
abstract: Management of postpneumonectomy bronchopleural fistula remains a major challenge for thoracic surgeons. Successful closure of a postpneumonectomy bronchopleural fistula was performed in a 60-year-old man, using a flap made by a combination of serratus anterior and latissimus dorsi muscle which had been divided during the pneumonectomy operation. The flap was prepared on the presence of a dependable collateral serratus anterior branch to the lateral thoracic artery, which provides retrograde flow to the latissimus dorsi muscle.
authors.affiliation: Department of Thoracic Surgery, Ufuk University School of Medicine, Ankara, Turkey tevfikkaplan@yahoo.com.
authors.forename: Tevfik
authors.initials: T
authors.lastname: Kaplan
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ufuk Univeristy School of Medicine, Ankara, Turkey.
authors.forename: Basar
authors.initials: B
authors.lastname: Kaya
authors.affiliation: Department of Anesthesiology and Reanimation, Ufuk University School of Medicine, Ankara, Turkey.
authors.forename: Baturay Kansu
authors.initials: BK
authors.lastname: Kazbek
authors.affiliation: Department of Thoracic Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Kocer
authors.affiliation: Department of Thoracic Surgery, Ufuk University School of Medicine, Ankara, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Han
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ufuk Univeristy School of Medicine, Ankara, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Yormuk
mesh_terms: D001983:Bronchial Fistula / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology / Q000517:prevention & control; D011013:Pneumonectomy / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D064171:Superficial Back Muscles / Q000601:surgery*; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000601:surgery; D016896:Treatment Outcome
keywords: Empyema; fistula; pneumonectomy; postoperative complications; reconstructive surgical procedures; thoracic surgical procedures