title: Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty.
abstract: Skin necrosis is a rare complication after thoracomyoplasty and usually needs conservative treatment. We described positive findings with surgical approach. A 54-year-old man showed bronchopleural fistula after undergoing right pneumonectomy for lung cancer, treated with thoracomyoplasty. On the 20th postoperative day, a skin wound lesion was noted, whose deterioration required a skin flap transposition. Patient was discharged from hospital on the 7th postoperative day and did not show relapse at the 7th year follow-up. Surgery can be the most viable alternative to medical treatments in the management of a chest wall cutaneous complication even in high-risk patients.
authors.affiliation: Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.
authors.forename: Duilio
authors.initials: D
authors.lastname: Divisi
authors.affiliation: Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.
authors.forename: Mirko
authors.initials: M
authors.lastname: Barone
authors.affiliation: Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.
authors.forename: Gino
authors.initials: G
authors.lastname: Zaccagna
authors.affiliation: Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.
authors.forename: William
authors.initials: W
authors.lastname: Di Francescantonio
authors.affiliation: Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Crisci