| Long-term complications of extraperiosteal plombage. | |
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MedLine Citation:
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PMID: 9236365 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: As soon as complications due to migration of extraperiosteal plombage material had been documented, early removal became the rule. Some patients who have escaped this rule may still present with long-term complications. METHODS: Since 1980, 14 patients aged 54 +/- 10 years were admitted 28 +/- 11 years after collapse therapy. Eight presented with signs of infection, 4 with hemoptysis, and 2 with periscapular pain. Vascular erosion, suspected in 3 patients, was demonstrated with angiograms in 1. RESULTS: Ablation of the material was combined with excision of the devitalized ribs in 13 patients. Femorofemoral bypass was used in 2 patients for repair of an aortic erosion. Single ablation of subcutaneously migrated material was performed in a poor-risk patient. Operative bleeding was moderate except in 2 patients; 1 of them died intraoperatively during repair of an aortic erosion. A second patient died postoperatively with a massive pulmonary embolus on day 11. Infection was diagnosed in 8 patients (Mycobacterium tuberculosis, 4; and pyogens, 4). Operative outcome was satisfactory in all 12 operative survivors. A single patient presented with an infected apical space at 1 year and underwent complementary resection of the first rib. CONCLUSIONS: We recommend routine ablation of any residual plombage material whenever operative risk is acceptable because of the high incidence of spontaneous complications. |
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Authors:
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G Massard; P Thomas; P Barsotti; P Riera; R Giudicelli; E Reboud; G Morand; P A Fuentes; J M Wihlm |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 64 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1997 Jul |
Date Detail:
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Created Date: 1997-08-21 Completed Date: 1997-08-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 220-4; discussion 224-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Thoracic Surgery, University Hospital of Strasbourg, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Foreign-Body Migration / complications, etiology* Humans Male Methylmethacrylates* Middle Aged Pneumonolysis / adverse effects* Prostheses and Implants / adverse effects* Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Methylmethacrylates |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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