Carinal Sleeve Resection for Persistent Bronchopleural Fistula After Completion Right Pneumonectomy

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 pneumonectom...

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Published inThe Annals of thoracic surgery Vol. 89; no. 4; pp. 1266 - 1268
Main Authors Chan, Vincent, MD, Shamji, Farid, MD, Sundaresan, Sudhir R., MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.04.2010
Subjects
Aged
Bronchial Fistula - etiology
Bronchial Fistula - surgery
Cardiothoracic Surgery
Humans
Male
Pleural Diseases - etiology
Pleural Diseases - surgery
Pneumonectomy - adverse effects
Pneumonectomy - methods
Respiratory Tract Fistula - etiology
Respiratory Tract Fistula - surgery
Surgery
Trachea - surgery
15
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2009.08.017