4] Inadequate drainage, persistence of BPF and/or non-expansion of the lung even after antibiotic therapy and intercostal drainage were referred to cardiothoracic surgeon and decortication and/or decortication with closure of bronchopleural fistula
using intercostal muscle flap were performed in selected cases.
However, when there is a preexistent pneumothorax, the adequate use of HFJV probably helps to reduce the air leak through the bronchopleural fistula
because a lower elevation in the airway pressure, associated with a good compromise on the oxygenation.
Closure of a Recurrent Bronchopleural Fistula
Using a Matrix Seeded With Patient-Derived Mesenchymal Stem Cells," Stem Cells Translational Medicine, June 2016 DOI: 10.
In addition, we will discuss the imaging features of complex pleural-parenchymal abnormalities, with special consideration of bronchopleural fistulas
, unexpandable lung, and post-pneumonectomy complications.
Rupture of the pneumatocele will cause pneumothorax or the formation of bronchopleural fistula
(BPF) especially during mechanical ventilation, which was the case with this infant.
After MS and selective ventilation of the left lung, the right main bronchus was opened and the foreign body removed, with repair of the bronchopleural fistula
7) Bronchopleural fistula
tracts are usually present but can be difficult to detect by CT.
is a very serious complication post-operative lung resection associated with significant morbidity and a mortality of up to 67% (1) It has a reported incidence of up to 20% post pneumonectomy (2).
But to its credit, the book does outline positioning precautions in the management of bronchopleural fistula
with empyema, a topic which is often absent larger texts.
A bronchopleural fistula
is a serious complication that can substantially lengthen a hospital stay and recovery time, he added.
For closure of the bronchus, in order to diminish the risk of a bronchopleural fistula
, he cut the cartilage of the bronchial stump at several points to prevent their spring-like action, and then used interrupted silk sutures to effect its closure.
Four patients experienced long-term sequelae: hemoptysis caused by aspergilloma necessitating pulmonary resection (1 patient), bronchiectasis and recurrent respiratory infections (2 patients), and bronchopleural fistula
after pneumonectomy (1 patient).
Postpneumonectomy empyema with or without bronchopleural fistula
is a rare but extremely serious complication of surgery that can have devastating effects on patients and families.
A 50-year-male patient with persistent air leakage on bronchopleural fistula
on right side of chest since 3 months suffering with right chest pain, cough, sob with decreased air entry on right side with decreased respiratory movements, right mediastinal shift.