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Ann Thorac Surg 1993;56:357-358
© 1993 The Society of Thoracic Surgeons


Articles

Hemorrhage due to inflammatory erosion of the pulmonary artery stump in postpneumonectomy bronchopleural fistula

Krishna Khargi, MD*,a,b, Vincent A.M. Duurkens, MDa,b, Paul J. Knaepen, MDa,b, Aart Brutel de la Riviere, MDa,b

a Department of Thoracic Surgery, Academic Hospital Leiden, Leiden, the Netherlands
b Pulmonary Medicine and Department of Thoracic Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands

Accepted for publication August 25, 1992.

* Address repnnt requets to Dr Khargi, Department of Thoracic Surgery, Academic Hospital Leiden, POB 9600, 2300 RC, Leiden, the Netherlands.

Bleeding from the pulmonary artery in patients with a bronchopleural fistula after pneumoneetomy is a rare but devastating complication. The incidence is unknown, but our data suggest an incidence of 4% in all postpneu-monectomy bronchopleural fistulas. Two case histories are presented in which the anterior transpericardial approach was used to stop the pulmonary bleeding by direct suturing. Nevertheless, 1 patient died 5 days later because of irreversible brain damage; the other patient recovered well after a protracted convalescence.







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Copyright © 1993 by The Society of Thoracic Surgeons.