Deog Gon Cho, MD. Chul Ung Kang, MD. Min Seop Jo, MD. Kyu Do Cho, MD. Keon Hyeon Jo, MD.

Deog Gon Cho, MD. Chul Ung Kang, MD. Min Seop Jo, MD. Kyu Do Cho, MD. Keon Hyeon Jo, MD. Department of Thoracic and Cardiovascular Surgery, St. Vincent’s Hospital, The Catholic University of Korea Patch Tracheoplasty using Autogenous Costal Cartilage and Pericardium in Tracheo-pleural Fistula associating Descending Necrotizing Mediastinitis

Patient Progress • IM OO (M/73), with DM, HBP, Parkinson’s Dis. • Initial Dx: Periodontal & Retropharyngeal Abscess with DNM (Streptococcus pyogenes, MRSA) • First Op: Cervical I & D, Rt. Open Thoracotomic Drainage • POD 6: Development of Tracheopleural Fistula • Second Op: Rt. Thoracotomy & Patch Tracheoplasty using Autogenous Costal Cartilage & Pericardium Defect

Retropharyngeal Abscess and DNM * * * *

Tracheo-pleural Fistula (POD6)

Tracheo-pleural Fistula in Bronchoscopy

At Discharge POD44 POD 65

Thankyou !

Deog Gon Cho, MD. Chul Ung Kang, MD. Min Seop Jo, MD. Kyu Do Cho, MD. Keon Hyeon Jo, MD.

Deog Gon Cho, MD. Chul Ung Kang, MD. Min Seop Jo, MD. Kyu Do Cho, MD. Keon Hyeon Jo, MD.

Presentation Transcript

G S Brar MD Dilraj Grewal MD Rajeev Jain, MD SPS Grewal MD

Daniele Tognetto MD, Pia Leon MD, Paolo Cecchini MD, Silvia Rinaldi MD, Giuseppe Ravalico MD

PY Van, MD ∙ SD Cho, MD ∙ SJ Underwood, MS GJ Hamilton, BS ∙ LB Ham, MD ∙ MA Schreiber, MD

A Kheirkhah MD, A Izadi MD, R Nazari MD H Hashemi MD, M Jabbarvand MD, H Hashemian MD

Dr. S.Chakravarty MBBS, MD MD

Megan Miller MD, Nancy Schindler MD, John Seal MD, Mark Russo MD

Ahmet ALANAY, MD Cagatay OZTURK, MD Meric ENERCAN, MD Ibrahim ORNEK, MD Mehmet TEZER, MD

Anil Verma, MD, Jalal Ghali, MD, Alessandra Meris, MD,

Hiroo Matsuse, MD; Naoto Shiba, MD; Yoshio Takano, MD;

Hong-wei Min, MD; Ke-min Liu, MD; Xin-zuo Han, MD; Rui Gu, MD

Azmi HAMZAOGLU, MD Cagatay OZTURK, MD Ahmet ALANAY, MD Mehmet TEZER, MD Selhan KARADERELER, MD

Burcu Oktay MD , Sadık Ardıç MD, Hikmet Firat MD, Erdem Akbal MD, Ramazan Akdemir MD

HELVACIOGLU Firat , MD, SENCAN Sadik , MD, OGUZHAN Hasan, MD, YETER Celal, MD

20 th September 2007 Annette Gilmore RN BSc MSc Jo Howard MD, Mark Layton MD, Gavin Cho MD,

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Katherine Yulo, MD Ruchi Gupta, MD Renu Gandhe, MD

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Hong-wei Min, MD; Ke-min Liu, MD; Xin-zuo Han, MD; Rui Gu, MD

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Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD