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Cardiothoracic Surgery |

Extra-Musculo-Periosteal Plombage Thoracoplasty With Balls - Still Working After 46 Years

Petre Vlah-Horea Botianu, MD; Alexandru-Mihail Botianu, MD
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University of Medicine and Pharmacy, Tirgu-Mures, Romania


Chest. 2013;144(4_MeetingAbstracts):101A. doi:10.1378/chest.1704446
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Abstract

SESSION TITLE: Surgery Global Case Reports

SESSION TYPE: Global Case Report

PRESENTED ON: Tuesday, October 29, 2013 at 01:30 PM - 02:30 PM

INTRODUCTION: Plombage thoracoplasty was extremely popular in the 1940-50's due to it' simplicity and esthetic advantage; it was abandoned due to some specific complications and to the good results achieved after the introduction of modern tuberculostatic treatment.

CASE PRESENTATION: We present an 81-years old patient who underwent at the age of 35 years (46 years ago) an extramusculo-periosteal plambage with balls for a fibro-cavitary left upper lobe tuberculosis. The patient had an excellent postoperative evolution, with negative cultures for Mycobacterium tuberculosis, no respiratory symptoms and a complete social reinsertion (general practitioner until the age of 70 years); he was admitted to our unit for an entero-mesenteric infarction and died on postoperative day 8 (after segmentary enterectomy) due to a myocardial infarction.

DISCUSSION: Despite the general opinion that plombage thoracoplasty is associated with late complications related to the foreign material introduced inside the chest (1,2), our patient had an excellent outcome - no chest complaints for 46 years, no significant sequelae, death at the age of 81 from causes not related to the procedure.

CONCLUSIONS: The case is interesting due to the imagistic aspects and the excellent evolution after a procedure with which the actual generation of surgeons is not familiar. The actual recrudescence of tuberculosis may bring into attention procedures that were considered abandoned at a certain time (3).

Reference #1: Harland RW, Sharma M, Rosenzweig DY. Lung carcinoma in a patient with Lucite sphere plombage thoracoplasty. Chest. 1993;103(4):1295-1297

Reference #2: Horowitz MD, Otero M, Thurer RJ, Bolooki H. Late complications of plombage, Ann Thorac Surg. 1992;53(5):803-806

Reference #3: Cordos I. Procedural artifice in extraperiosteal plombage using acrylic resin balls, Romanian Journal of Thoracic Surgery. 2002;6(1):187-190

DISCLOSURE: The following authors have nothing to disclose: Petre Vlah-Horea Botianu, Alexandru-Mihail Botianu

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