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Pericardial Fat Filling Method for Intractable Secondary Spontaneous Pneumothorax
Satoshi Takamori1,2, Marina Nakatsuka1, Makoto Endo1
1Department of General Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
None:
The treatment of intractable secondary spontaneous pneumothorax is challenging. A 74-year-old man with combined pulmonary fibrosis and emphysema developed a left secondary pneumothorax. The perforated bullae were ligated during the first surgery; however, the pneumothorax recurred. During the second surgery, the pulmonary fistula was filled with pericardial fat, and the fistula was sutured closed using a pericardial fat pad. No air leakage or recurrence was observed postoperatively. This novel method may effectively seal pulmonary fistulas causing intractable secondary spontaneous pneumothorax.
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