Bronchopleural fistula (BPF) is a well recognized and potentially fatal complication of major thoracic surgery and several strategies regarding its prevention and subsequent management have been described. An immediate BPF occurring intraoperatively after bronchial closure is a rare event and is usually treated by bronchial stump reamputation and/or hand-suture reinforcement by mattress suture, or myoplasty. We report a simple and successful technique, using azygous vein flaps, to repair an intraoperative BPF associated to a small bronchial dehiscence occurred after a right pneumonectomy in a 70-year-old diabetic man receiving induction chemotherapy treatment.
A safe and effective method for an immediate bronchopleural fistula repair / D. Galetta, G. Veronesi, P. Solli, F. Petrella, A. Borri, R. Gasparri, F. Leo, L. Spaggiari. - In: MINERVA CHIRURGICA. - ISSN 0026-4733. - 62:2(2007 Apr), pp. 137-139.
A safe and effective method for an immediate bronchopleural fistula repair
D. Galetta;F. Petrella;L. Spaggiari
2007
Abstract
Bronchopleural fistula (BPF) is a well recognized and potentially fatal complication of major thoracic surgery and several strategies regarding its prevention and subsequent management have been described. An immediate BPF occurring intraoperatively after bronchial closure is a rare event and is usually treated by bronchial stump reamputation and/or hand-suture reinforcement by mattress suture, or myoplasty. We report a simple and successful technique, using azygous vein flaps, to repair an intraoperative BPF associated to a small bronchial dehiscence occurred after a right pneumonectomy in a 70-year-old diabetic man receiving induction chemotherapy treatment.
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