Postpneumonectomy Bronchopleural Fistula Closure With Biologic Mesh and Diaphragm Flap
Usman Ahmad1, Maryna Chumakova1, Siva Raja1
1Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
The Annals of Thoracic Surgery
|August 26, 2017
Abstract:
A 77-year-old man with clinical stage II squamous cell carcinoma underwent right intrapericardial pneumonectomy. After an initially uneventful course he was readmitted with right-sided empyema, bronchopleural fistula, and pulmonary embolus. This was managed with initial resuscitation and anticoagulant agents, followed by debridement and closure of the fistula with biologic mesh reinforced with a pedicled diaphragm muscle flap.
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