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Published on: September 13, 2020
Thoracoscopic sympathetic clamping in a patient with an azygos fissure
Seok Whan Moon1, Jeong Sub Yoon, Keon Hyeon Jo
1Department of Thoracic and Cardiovascular Surgery, Kang Nam St. Mary Hospital, College of Medicine, The Catholic University of Korea, Banpo-Dong, Socho-ku, Seoul, Republic of Korea. swmoon@catholic.ac.kr
Abstract:
We believe that an azygos fissure may predispose to bleeding during thoracoscopic surgery. An azygos fissure causes important morphologic changes in the superior mediastinum and thereby poses a risk of massive bleeding during thoracoscopic procedures. We report on a successful thoracoscopic procedure conducted in a patient with palmar hyperhidrosis and an azygos fissure and emphasize that the course of the thoracic sympathetic chain runs laterally along the base of the azygos fissure.
