Bronchoscopic gluing for post-lung-transplant bronchopleural fistula.
A 44-year-old female patient diagnosed as pulmonary lymphangioleiomyomatosis with respiratory failure underwent bilateral sequential lung transplantation using an entire left lung and a post-lower-lobectomy right lung due to pneumonia. Persistent air leakage during cough was noted and bronchoscopy 12 days after transplantation demonstrated post-lobectomy bronchial stump dehiscence with a large bronchopleural fistula. We applied twice tissue glue instillation on the dehiscent bronchial stump through flexible bronchoscopy. The air leak improved and the patient was discharged 3 months after transplantation uneventfully. Two months after discharge, bronchoscopy showed complete healing of the dehiscent bronchial stump. Now, she lives independently without oxygen support.
Chang
Chin-Chih
CC
Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan S. Rd, Taipei, Taiwan.
Hsu
Hsao-Hsun
HH
Kuo
Shuenn-Wen
SW
Lee
Yung-Chie
YC
D000328:Adult; D001983:Bronchial Fistula / Q000209:etiology / Q000628:therapy*; D001999:Bronchoscopy; D004659:Enbucrilate / Q000627:therapeutic use*; D005260:Female; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010995:Pleural Diseases / Q000209:etiology / Q000628:therapy*
D004659:Enbucrilate