title: Closure of a broncho-pleural fistula using an atrial septal defect occluder.
abstract: Broncho-pleural fistulae (BPF) are recognised as a rare complication following pneumonectomy. We describe a patient, who after failing conservative treatment, underwent closure of a persistent fistula with an atrial septal defect (ASD) occluder. Additionally we review the literature regarding management of BPF and the emerging role of cardiac defect closure devices as a possible treatment option.
authors: Department of Cardiology, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand. Electronic address: tfjpasley@hotmail.com.
authors: Thomas
authors: T
authors: Pasley
authors: Department of Cardiology, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
authors: Peter N
authors: PN
authors: Ruygrok
authors: Department of Cardiac Surgery, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
authors: Nicolas
authors: N
authors: Kang
authors: Department of Respiratory Medicine, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
authors: Mark
authors: M
authors: O'Carroll
authors: Department of Respiratory Medicine, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
authors: John
authors: J
authors: Kolbe
authors: Department of Cardiac Anaesthesia, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
authors: David
authors: D
authors: Morrice
mesh_terms: D000369:Aged, 80 and over; D001980:Bronchi / Q000473:pathology / Q000601:surgery; D001983:Bronchial Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D010994:Pleura; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery
keywords: Atrial septal defect occluder; Broncho-pleural fistula; Clostridium difficile; Empyema; Pneumonectomy