Bronchopleural fistula repair during Clagett closure utilizing a collagen matrix plug.
We describe a 65-year-old man who was treated for an empyema after a right middle and lower lobectomy for adenocarcinoma with a Clagett procedure who subsequently had a bronchopleural fistula develop. After adequate debridement of the cavity through dressing changes, the right bronchus intermedius bronchopleural fistula was closed using a collagen porcine plug (Surgisis anal fistula plug [Cook Medical Inc, Bloomington, IN]) placed through the cavity into the fistula along with the placement of omentum into the cavity. This case report illustrates the utility of collagen plugs to close bronchopleural fistulas.
Paul
Subroto
S
Division of Thoracic Surgery, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA.
Talbot
Simon G
SG
Carty
Matthew
M
Orgill
Dennis P
DP
Zellos
Lambros
L
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery; D000368:Aged; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods; D003094:Collagen / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery; D011859:Radiography; D018570:Risk Assessment; D013525:Surgical Instruments; D016896:Treatment Outcome
D003094:Collagen