Closure of pneumonectomy stump fistula using custom Y and cuff-link-shaped silicone prostheses.
Large postpneumonectomy stump fistulas pose a significant problem for thoracic surgeons and interventional bronchoscopists. We present a case of successful rigid bronchoscopic repair of a complete right pneumonectomy stump dehiscence using a custom-built stent made of a sculpted silicone Y stent sutured to a new cuff-link-shaped DJ-Fistula stent. This resulted in rapid symptom resolution, weaning from mechanical ventilation and discharge home in a patient with bronchogenic carcinoma, respiratory failure, and significant other comorbidities that precluded repeat thoracotomy.
Colt
Henri G
HG
Pulmonary and Critical Care Division, UCI Medical Center, 101 the City Drive, Bldg. 53, Rm. 119, Orange, California 91916, USA.
Murgu
Septimiu D
SD
D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D001999:Bronchoscopy; D006801:Humans; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects*; D011474:Prosthesis Design; D012121:Respiration, Artificial; D012828:Silicones; D015607:Stents; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000628:therapy; D013536:Suture Techniques; D016896:Treatment Outcome
D012828:Silicones