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Robert J. Keenan
Keith S. Naunheim
Peter F. Ferson
Rodney J. Landreneau
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Ann Thorac Surg 1995;60:1812-1814
© 1995 The Society of Thoracic Surgeons

Case Report

Diagnosis of Postpneumonectomy Bronchopleural Fistula Using Ventilation Scintigraphy

Frank A. Pigula, MD, Robert J. Keenan, MD, Keith S. Naunheim, MD, Peter F. Ferson, MD, Rodney J. Landreneau, MD

Section of Thoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania

Accepted for publication June 20, 1995.

Occult bronchopleural fistulas are frequently present when empyemas develop in a postpneumonectomy space. Recognition of the bronchial stump disruption can be difficult, which may lead to delays or errors in the management of these difficult problems. We report the use of xenon ventilation nuclear scintigraphy as an effective noninvasive means of confirming the diagnosis of occult postpneumonectomy bronchopleural fistulas.




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