Fibrin glue closure of persistent bronchopleural fistula following pneumonectomy for post-tuberculosis bronchiectasis.
We report a case of a persistent bronchopleural fistula following a pneumonectomy for post-tuberculosis bronchiectasis. The patient had two unsuccessful surgical attempts at closing of the fistula. Further surgical attempts were technically were not possible. Bronchoscopic closure was achieved by injecting human fibrin glue into the fistula via a catheter. Closure of the broncho-pleural fistula was confirmed by repeated ventilation scan over a period of 2 months. Endoscopic closure of small bronchopleural fistulae is an attractive option in children with significant underlying lung disease.
Goussard
P
P
Department of Paediatrics and Child Health, Faculty of Health Sciences, Stellenbosch University, Tygerberg Children's Hospital, Tygerberg, South Africa. pgouss@sun.ac.za
Gie
R P
RP
Kling
S
S
Kritzinger
F E
FE
van Wyk
J
J
Janson
J
J
Andronikou
S
S
D000293:Adolescent; D001983:Bronchial Fistula / Q000209:etiology*; D001987:Bronchiectasis / Q000209:etiology; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D011013:Pneumonectomy / Q000009:adverse effects*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014397:Tuberculosis, Pulmonary / Q000150:complications
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives