Abstract
Sleeve bronchoplasty is an uncommon surgical option for the management of bronchopleural fistulae. We present the management of an individual who developed T1N0M0 non-small cell lung cancer involving the right upper lobe 20 years after right lower lobe cancer. Following completion right pneumonectomy, this patient developed a bronchial stump leak. Primary repair of the stump was performed, but failed leading to empyema and necessitated creation of a Clagett window. The size of the stump defect became sufficiently large to render the patient dyspneic and aphonic. A carinal sleeve resection was successful in managing the massive bronchopleural fistula.
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