Transthoracic closure of a postpneumonectomy bronchopleural fistula with coils and cyanoacrylate.
case_report · Level V
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Abstract
Standard treatment for persistent bronchopleural fistulas involves thoracotomy with primary closure and transposition of a vascularized muscle flap to the bronchial leak site. This major operation may be ineffective or medically contraindicated. We successfully treated 2 patients by insertion of coils and cyanoacrylate glue into and adjacent to the fistula of a postpneumonectomy bronchial stump with computed tomographic-guided transthoracic needle. The coils served as scaffolding for cyanoacrylate glue to control the bronchopleural fistula.
Medical subject headings
- Bronchial Fistula
- Cyanoacrylates
- Pleural Diseases
- Pneumonectomy
- Tissue Adhesives