HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pairolero, P. C. Articles by Piehler, J. M. Search for Related Content PubMed PubMed Citation Articles by Pairolero, P. C. Articles by Piehler, J. M.

The Journal of Thoracic and Cardiovascular Surgery, Vol 86, 809-817, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Intrathoracic transposition of extrathoracic skeletal muscle

PC Pairolero, PG Arnold and JM Piehler

During the past 6 years, 31 patients (20 males and 11 females) underwent 45 intrathoracic muscle transpositions of extrathoracic skeletal muscle. Eleven patients had postpneumonectomy empyema, 11 had bronchopleural fistula, four had infection of the heart and great vessels, three had reinforcement of tracheal anastomoses, and two had perforation of the gastrointestinal tract. Life-threatening infection was present in 28 patients. Ages ranged from 16 to 80 years, with a mean of 58.1. The latissimus dorsi muscle was transposed in 18 patients, pectoralis major muscle in 15, serratus anterior muscle in eight, pectoralis minor muscle in three, and rectus abdominis muscle in one. Twelve patients had multiple muscle transpositions (six concurrently and six staged). Operative mortality was 12.9% (four patients). Follow-up of the 27 operative survivors ranged from 3 to 72 months with a mean of 17.3. Twenty-four patients had no further signs or symptoms of the original infection. All had a closed chest. Long- term survivors included 73% of patients with postpneumonectomy empyema, 64% of patients with bronchopleural fistulas, and 50% of patients with infections of the heart and great vessels. We conclude that intrathoracic transposition of an extrathoracic skeletal muscle is an excellent method of treatment for persistent, life-threatening intrathoracic infection.

This article has been cited by other articles:

				L. Jiang, G.-n. Jiang, W.-x. He, J. Fan, Y.-m. Zhou, W. Gao, and J.-a. Ding Free rectus abdominis musculocutaneous flap for chronic postoperative empyema. Ann. Thorac. Surg., June 1, 2008; 85(6): 2147 - 2149. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, N. Katsuragi, Y. Nakajima, M. Hashizume, N. Takahashi, and Y. Miyasaka Pneumonectomy for complex aspergilloma: is it still dangerous? Eur. J. Cardiothorac. Surg., January 1, 2006; 29(1): 9 - 13. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, Y. Nakajima, N. Katsuragi, M. Kurai, and N. Takahashi Resectional surgery combined with chemotherapy remains the treatment of choice for multidrug-resistant tuberculosis J. Thorac. Cardiovasc. Surg., October 1, 2004; 128(4): 523 - 528. [Abstract] [Full Text] [PDF]

				M. S. Kent, R. J. Korst, L. B. Gayle, J. L. Port, and N. K. Altorki A simple solution for management of the postpneumonectomy empyema cavity Ann. Thorac. Surg., September 1, 2004; 78(3): 1107 - 1108. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, Y. Nakajima, N. Katsuragi, M. Kurai, and N. Takahashi Pneumonectomy for nontuberculous mycobacterial infections Ann. Thorac. Surg., August 1, 2004; 78(2): 399 - 403. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, Y. Nakajima, K. Takasuna, T. Hanaoka, N. Katsuragi, and H. Konno Surgery for Mycobacterium avium complex lung disease in the clarithromycin era Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 314 - 318. [Abstract] [Full Text] [PDF]

				D. Lardinois, A. Horsch, T. Krueger, M. Dusmet, and H.-B. Ris Mediastinal reinforcement after induction therapy and pneumonectomy: comparison of intercostal muscle versus diaphragm flaps Eur. J. Cardiothorac. Surg., January 1, 2002; 21(1): 74 - 78. [Abstract] [Full Text] [PDF]

				C. Deschamps, A. Bernard, F. C. Nichols III, M. S. Allen, D. L. Miller, V. F. Trastek, G. D. Jenkins, and P. C. Pairolero Empyema and bronchopleural fistula after pneumonectomy: factors affecting incidence Ann. Thorac. Surg., July 1, 2001; 72(1): 243 - 248. [Abstract] [Full Text] [PDF]

				A. Bernard, C. Deschamps, M. S. Allen, D. L. Miller, V. F. Trastek, G. D. Jenkins, and P. C. Pairolero Pneumonectomy for malignant disease: Factors affecting early morbidity and mortality J. Thorac. Cardiovasc. Surg., June 1, 2001; 121(6): 1076 - 1082. [Abstract] [Full Text] [PDF]

				B. J. Pomerantz, J. C. Cleveland Jr, H. K. Olson, and M. Pomerantz Pulmonary resection for multi-drug resistant tuberculosis J. Thorac. Cardiovasc. Surg., March 1, 2001; 121(3): 448 - 453. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, Y. Nakajima, A. Koyama, K. Takasuna, N. Katsuragi, and S. Yoshida Morbidity and mortality after 94 extrapleural pneumonectomies for empyema Ann. Thorac. Surg., October 1, 2000; 70(4): 1202 - 1206. [Abstract] [Full Text] [PDF]

				M. Duan, G. Chen, T. Wang, Y. Zhang, J. Dong, Z. Li, and T. Sui One-stage pedicled omentum majus transplantation into thoracic cavity for treatment of chronic persistent empyema with or without bronchopleural fistula Eur. J. Cardiothorac. Surg., December 1, 1999; 16(6): 636 - 638. [Abstract] [Full Text] [PDF]

				E. Jadczuk Postpneumonectomy empyema Eur. J. Cardiothorac. Surg., August 1, 1999; 14(2): 123 - 126. [Abstract] [Full Text] [PDF]

				M. Riquet, A. Chehab, R. Souilamas, F. Le Pimpec-Barthes, and B. Debesse Elective drainage of the apical chest by posterior approach Ann. Thorac. Surg., November 1, 1998; 66(5): 1824 - 1825. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, K. Fukushima, H. Komatsu, and A. Kurashima Early pulmonary resection for localized mycobacterium avium complex disease Ann. Thorac. Surg., July 1, 1998; 66(1): 183 - 186. [Abstract] [Full Text] [PDF]

				M. Garcia-Yuste, G. Ramos, J. L. Duque, F. Heras, M. Castanedo, L. J. Cerezal, and J. M. Matilla Open-Window Thoracostomy and Thoracomyoplasty to Manage Chronic Pleural Empyema Ann. Thorac. Surg., March 1, 1998; 65(3): 818 - 822. [Abstract] [Full Text] [PDF]

				O. Chavanon, F. Thony, J. Lebeau, and D. Blin Exposed prosthesis of a complex reconstruction of the ascending aorta and aortic arch in a sternal wound infection: Successful treatment by a pectoral muscle flap Eur. J. Cardiothorac. Surg., January 1, 1998; 13(1): 98 - 100. [Abstract] [Full Text] [PDF]

				W. T. Vigneswaran and S. S. Ramasastry Paraffin Plombage of the Chest Revisited Ann. Thorac. Surg., December 1, 1996; 62(6): 1837 - 1839. [Abstract] [Full Text]

				J. Mouroux, J. Maalouf, B. Padovani, C. Rotomondo, and H. Richelme SURGICAL MANAGEMENT OF PLEUROPULMONARY TUBERCULOSIS J. Thorac. Cardiovasc. Surg., March 1, 1996; 111(3): 662 - 670. [Abstract] [Full Text]