Abstract
BackgroundBrochopleural fistula following lung resection is a therapeuric challenge for thoracic surgeons.Case presentationWe describe a case of late bronchopleural fistula after right extrapleural pneumonectomy for malignant mesothelioma. Bronchoscopic attempts to repair it were unsuccessful.ConclusionThe use of a modified Y Dumon stent associated with glue apposition on the bronchial stump allowed us to close the fistula without the need of any surgical repair.
Highlights
Brochopleural fistula following lung resection is a therapeuric challenge for thoracic surgeons.Case presentation: We describe a case of late bronchopleural fistula after right extrapleural pneumonectomy for malignant mesothelioma
A 64-year old man was referred to our department for right recurrent pleural effusion
We first introduced the biological glue (CoSeal, Baxter Healthcare Corporation, Fremont, CA – USA) all over the bronchial stump that was of 1 cm lenght, followed by the insertion of the modified Y Dumon stent (Fig. 1–2)
Summary
Brochopleural fistula following lung resection is a therapeuric challenge for thoracic surgeons.Case presentation: We describe a case of late bronchopleural fistula after right extrapleural pneumonectomy for malignant mesothelioma. In this case we used a modified Y Dumon stent in an attempt to close a bronchopleural fistula which appeared 10 months after a right extrapleural pneumonectomy for malignant mesothelioma. Because of negative cytology malignancy, the patient underwent a thoracoscopic pleural biopsy on December 2004 that showed an epithelioid monophasic pleural mesothelioma, followed by talc pleurodesis at the end of the procedure.
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