Commentary: Endoscopic device closure to fix the dam problem of postpneumonectomy bronchopleural fistula

Abbas, Abbas E.

doi:10.1016/j.xjtc.2020.09.008

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…Although there are multiple intervention possibilities for BPF management, there is no current consensus due to over complexity of the condition and individual patient factors. Treatment options vary significantly from a multitude of surgical interventions to alternative treatments such as endoscopic stump closure with an autologous blood patch, argon plasma coagulation, cryoprecipitate glue, vacuum-assisted closure, and Fuji Systems® Uniblocker (Ambu Inc, Columbia, Maryland, United States) [ 6 ]. This case report aims to describe a treatment option for BPF following a pneumonotomy via transsternal bronchial occlusion.…”

Section: Introductionmentioning

confidence: 99%

Transsternal Approach for Broncho-Pleural Fistula Closure After Right Pneumonectomy

Gritsiuta,

Bakhos,

Abbas

et al. 2023

Cureus

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Broncho-pleural fistula (BPF) is an abnormal communication between the bronchial lumen and the pleural space that typically occurs postoperatively. Surgical intervention is typically needed to patch the fistula; however, current literature lacks a gold standard for which treatment to use. With a high mortality rate, there is a clear urgency for quick and successful intervention. This case examines a 59-year-old patient presenting with a BPF 14 years after incidental pneumonectomy during upper lobectomy for invasive aspergillus. A fistula was appreciated during bronchoscopy with contrast injection. The fistula was closed via the transsternal approach through median sternotomy and pericardiotomy. This case report aims to provide a viable option to successfully repair a BPF via the transsternal approach.

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Section: Introductionmentioning

confidence: 99%