title: Amplatzer Device in Bronchial Stump Fistula after Extrapleural Pneumonectomy.
abstract: Endoscopically superimposed Amplatzer (St. Jude Medical, St. Paul, Minnesota, United States) septal occluder plug was successfully used in the treatment of septic right main bronchus fistula having developed after extrapleural pneumonectomy and heated chemotherapy in two patients with malignant pleural mesothelioma. In the first case the method was curative and in the other Amplatzer served as temporary bridging allowing rehabilitation from empyema and sepsis. After 4.5 and 4.2 years both patients are alive with no sign of relapse of mesothelioma or infection.
authors.affiliation: Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland.
authors.forename: Johanna
authors.initials: J
authors.lastname: Turtiainen
authors.affiliation: Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland.
authors.forename: Jari V
authors.initials: JV
authors.lastname: Räsänen
authors.affiliation: Department of Anesthesiology, Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: Seppo
authors.initials: S
authors.lastname: Hiippala
authors.affiliation: Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: Erkki
authors.initials: E
authors.lastname: Tukiainen
authors.affiliation: Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland.
authors.forename: Jarmo A
authors.initials: JA
authors.lastname: Salo
mesh_terms: D000328:Adult; D000368:Aged; D001980:Bronchi / Q000000981:diagnostic imaging / Q000601:surgery*; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001999:Bronchoscopy / Q000295:instrumentation*; D017024:Chemotherapy, Adjuvant; D016724:Empyema, Pleural / Q000209:etiology / Q000628:therapy; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000086002:Mesothelioma, Malignant; D010997:Pleural Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011474:Prosthesis Design; D018805:Sepsis / Q000209:etiology / Q000628:therapy; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome