• A Wolter, T Scholz, J Diedrichson, A Arens-Landwehr, R Schroeder-Finckh, and J Liebau.
• Department of Plastic and Aesthetic Surgery, Florence-Nightingale Hospital, Kaiserswerther Diakonie, Kreuzbergstrasse 79, 40489 Duesseldorf, Germany. Electronic address: woltera@fnk.de.
• J Plast Reconstr Aesthet Surg. 2013 Nov 1; 66 (11): 1600-3.

AbstractPost-pneumonectomy bronchopleural fistula (BPF) remains a rare but often life-threatening complication and therapeutic challenge. Traditional surgical procedures include chronic open drainage, attempts at direct stump closure, thoracoplasty with or without chest wall muscle transposition and trans-sternal bronchial closure. We describe a case with successful closure of a chronic BPF after pneumonectomy by intrathoracic transposition of a pedicled latissimus dorsi muscle flap circumferentially fixed on the surrounding pleural tissue under continuous video-assisted thoracoscopic overview. The postoperative course was without complications; no tumour, empyema or fistula re-occurred. In this article we want to present the potential advantages of video-assisted thoracoscopic support and interdisciplinary teamwork to improve the outcome of patients with BPFs after pneumonectomy.Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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