1 McManigle JE, Fletcher GL, Tenholder MF. Bronchoscopy in the management of bronchopleural fistula. Chest 1990; 97:1235–1238 2 Williams NS, Lewis CT. Bronchopleural fistula: a review of 86 cases. Br J Surg 1976; 63:520–522 3 Abouasaleh R, Halaweh O, Pichurko B. Barrett’s esophagitis related bronchoesophageal fistula: the diagnostic value of persistent air leak in the ventilated setting [abstra...

We recently described the novel management of postpneumonectomy empyema with bronchopleural fistula using bronchoscopic glue injection [3, 4]. Cyanoacrylate glue is mixed with lipiodol for endobronchial injections into the submucosal layer of the proximal end of the bronchopleural fistula, raising the mucosa and thereby reducing the diameter of the fistula. The success rate of bronchoscopic clo...

BACKGROUND Pneumonectomy is still a high-risk surgical procedure. Postpneumonectomy bronchopleural fistula is an especially severe complication with a high mortality rate. Although several reports have discussed risk factors for early bronchopleural fistula after pneumonectomy, only a few have reported them for late bronchopleural fistula. We reviewed cases of late bronchopleural fistula after ...

BACKGROUND Bronchopleural fistula is a potentially fatal complication of pulmonary resections, especially pneumonectomy. METHODS Univariate and multivariate analyses of the development of bronchopleural fistula were performed in 12 patients with bronchopleural fistula and 102 patients without bronchopleural fistula who had undergone pneumonectomy from January 1983 through December 2005. RES...

PURPOSE To assess the efficacy of an adjustable inspiratory occlusion valve in experimental bronchopleural fistula during mechanical ventilation. METHODS We studied six mechanically ventilated pigs in a surgically created, reproducible model of bronchopleural fistula managed with mechanical ventilation and water-sealed thoracic drainage. An adjustable inspiratory occlusion valve was placed be...

OBJECTIVE New endoscopic techniques have been developed as an alternative to surgical treatment of bronchopleural fistula. The objective of this study was to analyze our experience with endoscopic treatment of such fistulas. MATERIAL AND METHODS We conducted a retrospective study of patients with bronchopleural fistula diagnosed by fiberoptic bronchoscopy. Patient characteristics, underlying ...

Postpneumonectomy empyema is a life-threatening complication, which is often related with a bronchopleural fistula. After surgical repair of fistula, sterilization of infected pleural cavity is important and usually carried out by long-term cyclic irrigation. We report a case in which vacuum-assisted closure device was successfully applied to sterilize the pleural cavity and obliterate bronchop...

Community-acquired necrotizing pneumonia caused by methicillin-resistant Staphylococcus aureus (MRSA) has been reported with increasing frequency in children.1 MRSA pneumonia can be complicated by pleural effusion, empyema, pneumatoceles, respiratory failure, and bronchopleural fistula.1,2 Maintaining adequate gas exchange with conventional mechanical ventilation is often problematic in patient...

BACKGROUND Bronchopleural fistula following lung resection is a therapeutic challenge for thoracic surgeons. CASE PRESENTATION We describe a case of late bronchopleural fistula after right extrapleural pneumonectomy for malignant mesothelioma. Bronchoscopic attempts to repair it were unsuccessful. CONCLUSION The use of a modified Y Dumon stent associated with glue apposition on the bronchia...

INTRODUCTION Performing pneumonectomy after neoadjuvant chemotherapy is still controversial. Bronchopleural fistula is a major complication after pneumonectomy. In this study the effect of neoadjuvant chemotherapy on postpneumonectomy bronchopleural fistula was investigated. MATERIAL AND METHODS A retrospective review of patients who underwent pneumonectomy for non-small cell lung cancer from...