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THE DEVELOPMENT OF BRONCHOPLEURAL FISTULA
Rita Costa1, João Maciel2, Pedro Fernandes1
1Department of Cardiothoracic Surgery,Centro Hospitalar Universitário São João, Porto, Portugal.
Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|March 18, 2022
Summary
A patient developed acute respiratory distress post-lung surgery due to a necrotic airway complication. This case highlights potential risks following wedge resection for pulmonary aspergilloma.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Infectious Diseases
Background:
- A 66-year-old male underwent wedge resection for an upper left lobe aspergilloma.
- Post-operative pneumostasis was achieved using biological glue, with initial negative water submersion tests for air leaks.
Observation:
- The patient experienced moderate alveolopleural leakage and lung expansion in the immediate post-operative period.
- A month later, readmission to intensive care was necessary due to acute respiratory distress, purulent sputum, and increased air leakage.
Findings:
- Intraoperative findings revealed necrotic pulmonary parenchyma surrounding the segmental bronchi.
- This suggests a potential complication related to the airway or infection post-aspergilectomy.
Implications:
- This case underscores the importance of vigilant monitoring for delayed respiratory complications after pulmonary resections for fungal infections.
- Early recognition and management of airway complications and persistent air leaks are crucial for patient outcomes.
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