Management of Postpneumonectomy Bronchopleural Fistula: From Thoracoplasty to Transsternal Closure

Alejandro Bribriesco, G. Alexander Patterson

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations

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.

Original languageEnglish
Pages (from-to)323-335
Number of pages13
JournalThoracic surgery clinics
Volume28
Issue number3
DOIs
StatePublished - Aug 1 2018

Keywords

  • Bronchopleural fistula
  • Clagett procedure
  • Open window thoracotomy
  • Pneumonectomy
  • Postpneumonectomy empyema
  • Thoracoplasty

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