title: Bronchopleural fistula repair during Clagett closure utilizing a collagen matrix plug.
abstract: 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.
authors: Division of Thoracic Surgery, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA.
authors: Subroto
authors: S
authors: Paul
authors: Simon G
authors: SG
authors: Talbot
authors: Matthew
authors: M
authors: Carty
authors: Dennis P
authors: DP
authors: Orgill
authors: Lambros
authors: L
authors: Zellos
mesh_terms: 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
chemical_list: D003094:Collagen