Staged surgery for empyema and lung gangrene caused by pseudoaneurysm after radiofrequency ablation

Research output: Contribution to journalArticlepeer-review

Abstract

Lung gangrene is a potentially fatal disease, and primary or staged surgery, depending on the patient’s condition, is reported to be useful. We describe successful management, by staged surgery, of a rare case of empyema and lung gangrene complicating lung radiofrequency ablation. The patient, who was a diabetic with colorectal pulmonary metastases, underwent embolization of a pulmonary artery pseudoaneurysm in the right basal segment that developed after lung radiofrequency ablation. He subsequently developed lung gangrene caused by lung ischaemia, and empyema, necessitating pleural decortication followed by open-window thoracostomy. Subsequently, right basal segmentectomy was performed, with thoracostoma closure. Staged surgery might be beneficial for high-risk patients with empyema and lung gangrene caused by lung ischaemia.

Original languageEnglish
Pages (from-to)831-833
Number of pages3
JournalInteractive cardiovascular and thoracic surgery
Volume32
Issue number5
DOIs
Publication statusPublished - May 1 2021
Externally publishedYes

Keywords

  • Empyema
  • Lung gangrene
  • Pseudoaneurysm
  • Radiofrequency ablation

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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