Broncho-pleural fistulae (BPF) are recognised as a rare complication following pneumonectomy.
We describe a patient, who after failing conservative treatment, underwent closure
of a persistent fistula with an atrial septal defect (ASD) occluder. Additionally
we review the literature regarding management of BPF and the emerging role of cardiac
defect closure devices as a possible treatment option.
Keywords
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References
- Postpneumonectomy bronchopleural fistula after sutured bronchial closure: incidence, risk factors and management.J Thorac Cardiovasc Surg. 1996; 112: 1367-1371
- Bronchoscopy in the management of bronchopleural fistula.Chest. 1990; 97: 1235-1238
- .The incidence, etiology and prevention of postresectional bronchopleural fistula.Semin Thorac Cardiovasc Surg. 2001; 13: 3-7
- Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors and management.Ann Thorac Cardiovasc Surg. 2001; 7: 330-336
- Stage closure of complicated bronchopleural fistulas.Ann Plastic Surg. 2000; 45: 560-564
- Bronchopleural fistulas associated with lung cancer operations: univariate and multivariate analysis of risk factors, management, and outcome.J Thorac Cardiovasc Surg. 1992; 104: 1456-1464
- Natural history of bronchopleural fistula after pneumonectomy: a review of 96 cases.Ann Thorac Surg. 1997; 63: 1391-1397
- Postsurgical empyemas. General thoracic surgery.4th ed. Williams & Wilkins, Baltimore1994: 694-700
- Causes and management of postpneumonectomy empyemas: our experience.Eur J Cardiothorac Surg. 2004; 26: 498-502
- Aerobic and anaerobic microbiology of empyema. A retrospective review in two military hospitals.Chest. 1993; 103: 1502-1507
- Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management.Chest. 2005; 128: 3955-3965
- Are bronchoscopic approaches to post-pneumonectomy bronchopleural fistula an effective alternative to repeat thoracotomy?.Interact Cardiovasc Thorac Surg. 2007; 6: 547-550
- Atrial septal defects in the adult: recent progress and overview.Circulation. 2006; 114: 1645-1653
- Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial.J Am Coll Cardiol. 2002; 39: 1836-1844
- Use of amplatzer device for endobronchial closure of bronchopleural fistulas.Chest. 2008; 133: 1481-1484
- Endobronchial closure of total bronchopleural fistula with Occlutech Figulla ASD N device.Ann Thorac Surg. 2009; 883: 25-26
- Endobronchial closure of bronchopleural fistulae using amplatzer devices: our experience and literature review.Chest. 2011; 1393: 682-687
- Endoscopic treatment of tracheobronchial tree fistulas using atrial septal defect occluders: preliminary results.J Bras Pneumol. 2009; 3511: 1156-1160
Article info
Publication history
Published online: December 05, 2013
Accepted:
October 30,
2013
Received in revised form:
August 29,
2013
Received:
May 13,
2013
Identification
Copyright
© 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.