Document Detail


Long-term complications of extraperiosteal plombage.
MedLine Citation:
PMID:  9236365     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  64     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-08-21     Completed Date:  1997-08-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  220-4; discussion 224-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Thoracic Surgery, University Hospital of Strasbourg, France.
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MeSH Terms
Descriptor/Qualifier:
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:
0/Methylmethacrylates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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