Korean J Thorac Cardiovasc Surg.
1999 Oct;32(10):958-961.
Esophageal Stent in Postpneumonectomy Esophagopleural Fistula
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, National Medical Center.
Abstract
-
A case of esophagopleural fistula after pleuropneumonectomy is reported. A 59 years old male
underwent right pleuropneumonectomy due to tuberculous empyema. The postoperative small
esophagopleural fistula was confirmed by esophagogram and was initially managed by a
conservative treatment. There was a persistent fistula on follow up esophagogram, therefore
we planned the next treatment modality for obstruction of the fistula. For poor general
conditions and arrhythmia, an esophageal stent was applied as a non-surgical method.
At first, a covered-form stent was inserted, but it migrated to the stomach after 3 months.
By using an uncovered-form stent, a complete obstruction of the esophagopleural fistula was
achieved.