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Ann Thorac Surg 1992;53:686-688
© 1992 The Society of Thoracic Surgeons

Articles

Endobronchial closure of a postpneumonectomy bronchopleural fistula

John C. Opie, MD*, Cecil C. Vaughn, MD, Robert A. Comp, MD, Joseph M. Radford, MD, Patricia Lowell, RN, Charles Finch

Departments of Cardiothoracic Surgery, Pulmonology, Pathology, and Nursing, Phoenix Baptist Hospital, Phoenix, Arizona, USA

Accepted for publication August 20, 1991.

* Address reprint requests to Dr Opie, Heart and Lung Surgeons Ltd, Suite 405, 6036 N 19th Ave, Phoenix, AZ 85015.

Successful permanent endobronchial closure of a serious postpneumonectomy bronchopleural fistula is reported in a patient with a delayed diagnosis of Mycobacterium fortuitum-cheloni infection. Increasing experience, improved plugging agents, and a review of the literature suggest that in selected patients, this procedure can avoid complex repeat operations and reverse life-threatening situations. Although atypical mycobacterial infections occur with infrequency, they are difficult to treat and may lead, as in this patient, to a misdiagnosis. Operations on granulomatous tissues are prone to heal poorly, thus inviting tissue breakdown and chronic fistulas.




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