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Ann Thorac Surg 1997;63:1492-1493
© 1997 The Society of Thoracic Surgeons

How To Do It

Management of the Uncontrollable Pulmonary Air Leak With Cyanoacrylate Glue

W. Stewart Horsley, MD, Joseph I. Miller, Jr, MD

Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia

Accepted for publication December 11, 1996.

Massive pulmonary air leak from a ruptured bleb in a patient with emphysema may be uncontrollable by the usual methods. A technique is illustrated where fibrin glue, cyanoacrylate glue, and a bovine pericardial patch are used in combination to seal the leak.




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