Anderson R P, Li W
Am J Surg. 1983 May;145(5):630-2. doi: 10.1016/0002-9610(83)90109-5.
A young woman sustained a penetrating wound to the right anterior chest during a vehicular accident. Septic complications led to emergency pneumonectomy followed by infection of the pleural space and disruption of the right bronchus closure. Her condition improved after creation of a pleural window for dependent drainage and gauze packing of the pleural space. Subsequently, the open bronchial stump was closed utilizing a transpericardial approach through a median sternotomy incision which permitted eventual closure of the pneumonectomy space without thoracoplasty. When the length of the bronchial stump permits its application, the transpericardial approach to postpneumonectomy bronchial fistula closure offers important advantages over conventional transpleural techniques.
一名年轻女性在车祸中右前胸受到贯通伤。感染性并发症导致紧急肺切除术，随后出现胸膜腔感染和右支气管残端闭合处破裂。在为依赖引流创建胸膜窗并对胸膜腔进行纱布填塞后，她的病情有所改善。随后，通过正中胸骨切开术切口采用经心包途径封闭开放的支气管残端，这使得肺切除空间最终得以闭合而无需胸廓成形术。当支气管残端长度允许应用时，经心包途径用于肺切除术后支气管瘘的闭合比传统的经胸膜技术具有重要优势。
