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Eur J Cardiothorac Surg · Feb 2007
Case ReportsBronchoscopic gluing for post-lung-transplant bronchopleural fistula.
- Chin-Chih Chang, Hsao-Hsun Hsu, Shuenn-Wen Kuo, and Yung-Chie Lee.
- Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan S. Rd, Taipei, Taiwan.
- Eur J Cardiothorac Surg. 2007 Feb 1; 31 (2): 328-30.
AbstractA 44-year-old female patient diagnosed as pulmonary lymphangioleiomyomatosis with respiratory failure underwent bilateral sequential lung transplantation using an entire left lung and a post-lower-lobectomy right lung due to pneumonia. Persistent air leakage during cough was noted and bronchoscopy 12 days after transplantation demonstrated post-lobectomy bronchial stump dehiscence with a large bronchopleural fistula. We applied twice tissue glue instillation on the dehiscent bronchial stump through flexible bronchoscopy. The air leak improved and the patient was discharged 3 months after transplantation uneventfully. Two months after discharge, bronchoscopy showed complete healing of the dehiscent bronchial stump. Now, she lives independently without oxygen support.
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