Postpneumonectomy Bronchopleural Fistula Closure With Biologic Mesh and Diaphragm Flap.

Ahmad, Usman; Chumakova, Maryna; Raja, Siva; Mason, David P; Murthy, Sudish C · Ann Thorac Surg · 2017

case_report · Level V

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Abstract

A 77-year-old man with clinical stage II squamous cell carcinoma underwent right intrapericardial pneumonectomy. After an initially uneventful course he was readmitted with right-sided empyema, bronchopleural fistula, and pulmonary embolus. This was managed with initial resuscitation and anticoagulant agents, followed by debridement and closure of the fistula with biologic mesh reinforced with a pedicled diaphragm muscle flap.

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