title: Delayed closure of persistent postpneumonectomy bronchopleural fistula.
abstract: A 73-year-old man with a history of postpneumonectomy empyema and a long-term chest tube since 1979 presented with fever, chills, leukocytosis, and purulent fluid from the left tube thoracostomy. CT scan and bronchoscopy demonstrated a right lower lobe pneumonia and a left mainstem dehiscence with direct communication to the left tube thoracostomy. He underwent primary closure of the bronchopleural fistula with latissimus dorsi muscle flap coverage after antibiotic therapy for right lower lobe pneumonia.
authors: Illinois Cardiac Surgery Associates and University of Illinois College of Medicine at OSF St. Francis Medical Center, Peoria, IL 61603, USA.
authors: Dale K
authors: DK
authors: Mueller
authors: Patrick E
authors: PE
authors: Whitten
authors: William P
authors: WP
authors: Tillis
authors: Linda M
authors: LM
authors: Bond
authors: James R
authors: JR
authors: Munns
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D016724:Empyema, Pleural / Q000209:etiology; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000601:surgery*