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Thoracic surgery clinics · Aug 2018
ReviewManagement of Postpneumonectomy Bronchopleural Fistula: From Thoracoplasty to Transsternal Closure.
- Alejandro Bribriesco and G Alexander Patterson.
- Department of Thoracic & Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, J4-1, Cleveland, OH 44195, USA. Electronic address: bribria@ccf.org.
- Thorac Surg Clin. 2018 Aug 1; 28 (3): 323-335.
AbstractDevelopment of postpneumonectomy empyema with bronchopleural fistula is a life-threatening condition that requires prompt action. Although measures should be taken to prevent bronchopleural fistula at time of pneumonectomy, many patients experience this complication. Management focuses on drainage of the pleural space, control of the pleural infection including repair of the bronchopleural fistula, and obliteration of the residual pleural cavity. Multiple techniques and procedures have been developed over time to achieve these goals. Knowledge of the diverse therapeutic options is important to select the optimal treatment for these complex patients.Copyright © 2018 Elsevier Inc. All rights reserved.
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