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Thoracic surgery clinics · Aug 2020
ReviewManagement of Complications After Lung Resection: Prolonged Air Leak and Bronchopleural Fistula.
- James M Clark, David T Cooke, and Lisa M Brown.
- Section of General Thoracic Surgery, Department of Surgery, University of California, Davis Health, 2335 Stockton Boulevard, 6th Floor North Addition Office Building, Sacramento, CA 95817, USA. Electronic address: https://twitter.com/JamesClarkMD.
- Thorac Surg Clin. 2020 Aug 1; 30 (3): 347-358.
AbstractProlonged air leak or alveolar-pleural fistula is common after lung resection and can usually be managed with continued pleural drainage until resolution. Further management options include blood patch administration, chemical pleurodesis, and 1-way endobronchial valve placement. Bronchopleural fistula is rare but is associated with high mortality, often caused by development of concomitant empyema. Bronchopleural fistula should be confirmed with bronchoscopy, which may allow bronchoscopic intervention; however, transthoracic stump revision or window thoracostomy may be required.Copyright © 2020 Elsevier Inc. All rights reserved.
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