A Dumon stent inserted for bronchial stenosis causing a left bronchopericardial fistula: report of a case.
We present herein the case of a 59-year-old man in whom a Dumon stent, inserted as treatment for stenosis of the left main bronchus, caused a left bronchopericardial fistula. The patient initially presented with severe dyspnea caused by main bronchial stenosis of unknown origin for which a Dumon stent was inserted at a local hospital. The Dumon stent migrated to the endobronchus through the stenosis of the left main bronchus a few days later, and his dyspnea remained unresolved. He was subsequently referred to our department 6 months later, where a left pneumonectomy under supportive cardiopulmonary bypass through the femoral artery and vein was performed, and a postoperative pathological diagnosis of bronchial leiomyosarcoma was made. For this rare group of malignant tumors, early diagnosis permits complete surgical resection of the mass and offers the best prognosis. Excision of the tumor should be performed under cardiopulmonary bypass through the femoral vessels when a risk of sudden rupture of the pulmonary artery or vein exists for any reason.
Sugiyama
S
S
Department of Surgery I, Toyama Medical and Pharmaceutical University, Japan.
Koyama
S
S
Murakami
A
A
Mizushima
Y
Y
Misaki
T
T
Matsui
K
K
Kitagawa
M
M
D001980:Bronchi / Q000473:pathology*; D001983:Bronchial Fistula / Q000209:etiology*; D003251:Constriction, Pathologic; D005402:Fistula / Q000209:etiology*; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium; D015607:Stents / Q000009:adverse effects*