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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 October;40(5):761-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Esophagopleural fistula originating from diverticulum after pneumonectomy. A case report and review of the literature

Inoue M., Nakanishi R., Osaki T., Yoshimatsu T., Yasumoto K.

From the Department of Surgery II University of Occupational and Environmental Health Kitakyusyu, Japan


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Eso­phag­o­pleural fis­tula (EPF) is a ­very ­rare and ­fatal dis­ease. A 56 ­year-old man devel­oped a pyo­thorax ­resulting ­from an EPF ­with esoph­a­geal diver­tic­ulum ­after a ­right pneu­mo­nec­tomy. The ­patient was suc­cess­fully ­treated ­with a ­three-­stage oper­a­tion and con­trol of infec­tion and nutri­tional ­status. ­First, fen­es­tra­tion was per­formed, ­then an ­ante-tho­racic gas­tro­plasty, and a rad­ical tho­rac­o­plasty was per­formed. Sur­gical man­age­ment, nutri­tional sup­port, and con­trol of infec­tion ­were the cor­ner­stones of the treat­ment of EPF.

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