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Amplatzer Device in Bronchial Stump Fistula after Extrapleural Pneumonectomy
Johanna Turtiainen1, Jari V Räsänen1, Seppo Hiippala2
1Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland.
Abstract:
Endoscopically superimposed Amplatzer (St. Jude Medical, St. Paul, Minnesota, United States) septal occluder plug was successfully used in the treatment of septic right main bronchus fistula having developed after extrapleural pneumonectomy and heated chemotherapy in two patients with malignant pleural mesothelioma. In the first case the method was curative and in the other Amplatzer served as temporary bridging allowing rehabilitation from empyema and sepsis. After 4.5 and 4.2 years both patients are alive with no sign of relapse of mesothelioma or infection.
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Assessment:
1. Clinical Evaluation:
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