Management of Postpneumonectomy Bronchopleural Fistula: From Thoracoplasty to Transsternal Closure.

Abstract

Development 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.

• Authors: Alejandro Bribriesco, G Alexander Patterson
• Journal: Thoracic surgery clinics (Thorac Surg Clin) Vol. 28 Issue 3 Pg. 323-335 (Aug 2018) ISSN: 1558-5069 [Electronic] United States
• PMID: 30054070 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2018 Elsevier Inc. All rights reserved.

Topics

• Bronchi (surgery)
• Bronchial Fistula (etiology, prevention & control, surgery, therapy)
• Empyema, Pleural (etiology, prevention & control, surgery, therapy)
• Humans
• Pleural Diseases (etiology, prevention & control, surgery, therapy)
• Pneumonectomy (adverse effects)
• Sternum (surgery)
• Thoracic Surgical Procedures (methods)
• Thoracoplasty (adverse effects)