Closure of a bronchopleural fistula using decalcified human spongiosa and a fibrin sealant.
Bronchopleural fistulas associated with empyema can occur as a life-threatening sequelae after pulmonary resection, most frequently occurring after pneumonectomy. With the use of the flexible bronchoscope, the bronchopleural fistula of a 62-year-old critically ill woman was permanently sealed with a fibrin sealant and a small section of demineralized human spongiosa. Closure of bronchopleural fistulas with the application of fibrin sealant plus human spongiosa may offer a valuable addition to the armament of therapeutic alternatives.
Baumann
W R
WR
Pharmacy Services, Feather River Hospital, Paradise, CA 95969, USA.
Ulmer
J L
JL
Ambrose
P G
PG
Garvey
M J
MJ
Jones
D T
DT
D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery; D001983:Bronchial Fistula / Q000209:etiology / Q000628:therapy*; D002283:Carcinoma, Bronchogenic / Q000150:complications / Q000601:surgery; D016724:Empyema, Pleural / Q000150:complications; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology / Q000628:therapy*; D011013:Pneumonectomy; D011183:Postoperative Complications; D014014:Tissue Adhesives / Q000627:therapeutic use*
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives