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The “Bedi-IMA Buttress”: Reinforcement of the Bronchial Stump with a Pedicled Internal Mammary Artery Buttress in Diabetic Patients after Lung Resection

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Objective: The development of a bronchopleural fistula is a devastating complication after lung resection. We describe a new method of buttressing the closure of the stump in diabetic patients using a pedicled internal mammary artery buttress flap to avoid a bronchopleural fistula. Methods: An internal mammary pedicled flap was used in 14 diabetic patients of lung resection to cover the bronchial stump. Results: The flap of viable vascularized muscle mass gave an excellent coverage of the bronchial stump. All patients recovered well with no bronchopleural fistula. Conclusions: We recommend this technique as a method of buttressing the bronchial stump in cases of lung resection, as the internal mammary artery is easily available and its use is not associated with any side effects.
Cite this paper
Bedi, H. and Negi, K. (2014) The “Bedi-IMA Buttress”: Reinforcement of the Bronchial Stump with a Pedicled Internal Mammary Artery Buttress in Diabetic Patients after Lung Resection. World Journal of Cardiovascular Surgery, 4, 223-226. doi: 10.4236/wjcs.2014.412032.
 

[1] Sfyridis, P.G., Kapetanakis, E.I., Baltayiannis, N.E., Bolanos, N.V., Anagnostopoulos, D.S., Markogiannakis, A., et al. (2007) Bronchial Stump Buttressing with an Intercostal Muscle Flap in Diabetic Patients. The Annals of Thoracic Surgery, 84, 967-972.
http://dx.doi.org/10.1016/j.athoracsur.2007.02.088
[2] Anderson, T.M. and Miller Jr., J.I. (1995) Use of Pleura, Azygos Vein, Pericardium, and Muscle Flaps in Tracheobronchial Surgery. The Annals of Thoracic Surgery, 60, 729-733.
http://dx.doi.org/10.1016/0003-4975(95)00500-K
[3] Klepetko, W., Taghavi, S., Pereszlenyi, A., Birsan, T., Groetzner, J., Kupilik, N., et al. (1999) Impact of Different Coverage Techniques on Incidence of Postpneumonectomy Stump Fistula. European Journal of Cardiothoracic Surgery, 15, 758-763.
http://dx.doi.org/10.1016/S1010-7940(99)00089-5
[4] Taghavi, S., Marta, G.M., Lang, G., Seebacher, G., Winkler, G., Schmid, K., et al. (2005) Bronchial Stump Coverage with a Pedicled Pericardial Flap: An Effective Method for Prevention of Postpneumonectomy Bronchopleural Fistula. The Annals of Thoracic Surgery, 79, 284-288.
http://dx.doi.org/10.1016/j.athoracsur.2004.06.108
[5] Calafiore, A.M., Vitolla, G., Iaco, A.L., Fino, C., Giammarco, G.D., Marchesani, F., et al. (1999) Bilateral Internal Mammary Artery Grafting: Midterm Results of Pedicled versus Skeletonized Conduits. The Annals of Thoracic Surgery, 67, 1637-1642.
http://dx.doi.org/10.1016/S0003-4975(99)00282-9
[6] Prommegger, R. and Salzer, G.M. (1998) Heterotopic Ossification in Pedicled Intercostal Muscle Flaps Causing Clinical Problems. The Journal of Thoracic and Cardiovascular Surgery, 115, 466-467.
http://dx.doi.org/10.1016/S0022-5223(98)70293-4
[7] Mineo, T.C., Ambrogi, V., Pompeo, E., Cristino, B., Natali, G.L. and Casciani, C.U. (1997) Comparison between Intercostal and Diaphragmatic Flap in the Surgical Treatment of Early Bronchopleural Fistula. European Journal of Cardiothoracic Surgery, 12, 675-677.
[8] D’Andrilli, A., Ibrahim, M., Andreetti, C., Ciccone, A.M., Venuta, F. and Rendina, E.A. (2009) Transdiaphragmatic Harvesting of the Omentum Through Thoracotomy for Bronchial Stump Reinforcement. The Annals of Thoracic Surgery, 88, 212-215.
http://dx.doi.org/10.1016/j.athoracsur.2009.04.025         eww141203lx
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