• Giacomo Cusumano, Alberto Terminella, Ignazio Vasta, Carmelo Riscica Lizzio, Salvatore Bellofiore, and Salvatore Saita.
• Division of General Thoracic Surgery, Vittorio Emanuele Policlinico Hospital, Catania, Italy giacomare55@hotmail.com.
• Asian Cardiovasc Thorac Ann. 2015 Oct 1; 23 (8): 995-7.

AbstractBronchial fistula is one of the most serious complications after pulmonary resection. It presents a challenge in terms of treatment, with a high risk of perioperative mortality. We describe a patient who underwent a right upper lobectomy and systematic hilar-mediastinal lymphadenectomy for lung adenocarcinoma complicated by 2 bronchopleural fistulas. The lesions were sited at the upper lobar stump and the pars membranacea of the intermediate bronchus. The patient was successfully treated by placement of an endobronchial prosthesis (initially a self-expanding prosthesis and subsequently, a Dumon prosthesis) and a pleural chest drain, to avoid a potential right pneumonectomy. © The Author(s) 2015.

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