title: The operative management of acute post-pneumonectomy bronchopleural fistula after flush bronchial amputation.
abstract: Acute disruption of the bronchial closure after pneumonectomy causes severe problems in patient management. Radical attempts at closure of the fistula and space obliteration (thoracoplasty) carry a high mortality. The management of this condition by a series of staged operative procedures is described. Pneumonectomy has usually been performed for bronchogenic carcinoma and prognosis is therefore guarded. Several low-risk operative interventions, with discharge from hospital between procedures, provide a safe and effective management method in the case described.
mesh_terms: D001980:Bronchi / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology* / Q000601:surgery; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010994:Pleura / Q000601:surgery; D010995:Pleural Diseases / Q000209:etiology*; D011013:Pneumonectomy / Q000009:adverse effects*