Korean J Thorac Cardiovasc Surg.  2016 Apr;49(2):138-140. 10.5090/kjtcs.2016.49.2.138.

The Management of Delayed Post-Pneumonectomy Broncho-Pleural Fistula and Esophago-Pleural Fistula

• Noh D
• Park CK

• KMID: 2161813
• DOI: http://doi.org/10.5090/kjtcs.2016.49.2.138

Abstract

Broncho-pleural fistula (BPF) and esophago-pleural fistula (EPF) after pulmonary resection are challenging to manage. BPF is controlled by irrigation and sterilization, but such therapy is not sufficient to promote closure of EPF, which usually requires surgical management. However, it is generally difficult to select an appropriate surgical method for closure of BPF and EPF. Here, we report a case of concomitant BPF and EPF after left completion pneumonectomy, in which both fistulas were closed through a right thoracotomy.

Keyword

Empyema; Broncho-pleural fistula; Esophago-pleural fistula

MeSH Terms

Empyema
Fistula*
Pneumonectomy
Sterilization
Thoracotomy