Treatment of bronchopleural fistula with small intestinal mucosa and fibrin glue sealant.
Bronchopleural fistula can be a devastating complication of pulmonary resections. Treatment options are often limited and carry significant morbidity or mortality, or both. We present a case of bronchopleural fistula occurring after pulmonary lobectomy for aspergilloma in a patient with recurrent acute lymphoblastic leukemia. The bronchopleural fistula was treated using bronchoscopic obliteration with Tisseel VH Fibrin Sealant (Baxter Healthcare Corp, Westlake Village, CA) and small intestinal submucosa with complete resolution and no morbidity. The relevant literature is reviewed.
Keckler
Scott J
SJ
Department of Surgery, The Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
Spilde
Troy L
TL
St Peter
Shawn D
SD
Tsao
KuoJen
K
Ostlie
Daniel J
DJ
D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001983:Bronchial Fistula / Q000209:etiology / Q000628:therapy*; D001999:Bronchoscopy / Q000379:methods; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation*; D007421:Intestine, Small; D008172:Lung Diseases, Fungal / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D010995:Pleural Diseases / Q000209:etiology / Q000628:therapy*; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000175:diagnosis; D018570:Risk Assessment; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive