title: Treatment of bronchopleural fistula with small intestinal mucosa and fibrin glue sealant.
abstract: 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.
authors: Department of Surgery, The Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
authors: Scott J
authors: SJ
authors: Keckler
authors: Troy L
authors: TL
authors: Spilde
authors: Shawn D
authors: SD
authors: St Peter
authors: KuoJen
authors: K
authors: Tsao
authors: Daniel J
authors: DJ
authors: Ostlie
mesh_terms: 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
chemical_list: D015718:Fibrin Tissue Adhesive