eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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SCImago Journal & Country Rank
3/2015
vol. 12
 
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abstract:
Case report

Combined Clagett procedure, negative pressure therapy, and thoracomyoplasty for treatment of late-onset postpneumonectomy empyema necessitatis

Waldemar Schreiner
,
Wojciech Dudek
,
Horia Sirbu

Kardiochirurgia i Torakochirurgia Polska 2015; 12 (3): 259-261
Online publish date: 2015/09/30
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Late-onset post-pneumonectomy empyema necessitatis can occur many years after the surgery and is a life-threatening condition. A 58-year-old male presented with empyema necessitatis 18 years after undergoing pneumonectomy. He was successfully treated with a modified two-stage Clagett procedure and ambulatory negative pressure as the bridge between the stages. The 72-month follow-up was uneventful. The complete obliteration of the rigid and wide residual postpneumonectomy cavity was necessary to avoid re-recurrence of the infection.
keywords:

negative pressure therapy, postpneumonectomy empyema necessitatis, late-onset empyema

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