World Journal of Cardiovascular Surgery

Volume 4, Issue 12 (December 2014)

ISSN Print: 2164-3202   ISSN Online: 2164-3210

Google-based Impact Factor: 0.21  Citations  

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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DOI: 10.4236/wjcs.2014.412032    3,713 Downloads   4,237 Views  Citations

ABSTRACT

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.

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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.

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