Successful endobronchial seal of surgical bronchopleural fistulas using BioGlue.
Postoperative bronchopleural fistula is uncommon, but it is associated with a high mortality and morbidity, and a prolonged hospital stay. Surgical treatment is gold standard, but it can prove challenging especially in the presence of infection. We describe three cases of bronchopleural fistula that developed after surgery for lung cancer in 1 patient and for bronchiectasis in 2 patients. All were successfully treated endoscopically by direct application of albumin-glutaraldehyde tissue adhesive (BioGlue; Cryolife Inc, Kennesaw, GA) through a rigid bronchoscope. Complete resolution was obtained in each patient within 24 hours.
Department of Cardiothoracic Surgery, St. George's Hospital, London, United Kingdom.
Harpreet
H
Ranu
Timothy
T
Gatheral
Abhijat
A
Sheth
Edward E J
EE
Smith
Brendan P
BP
Madden
D000368:Aged; D001983:Bronchial Fistula / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000628:therapy*; D011506:Proteins; D012074:Remission Induction; D016156:Respiratory Tract Fistula / Q000628:therapy*
C472676:Bio-glue; D011506:Proteins