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Ann Thorac Surg 1997;64:230-233
© 1997 The Society of Thoracic Surgeons

Case Report

Closure of a Bronchopleural Fistula Using Decalcified Human Spongiosa and a Fibrin Sealant

William R. Baumann, MD, Jack L. Ulmer, PharmD, Paul G. Ambrose, PharmD, Michael J. Garvey, PharmD, David T. Jones, MD

Feather River Hospital, Paradise, California

Accepted for publication February 10, 1997.

Bronchopleural fistulas associated with empyema can occur as a life-threatening sequelae after pulmonary resection, most frequently occurring after pneumonectomy. With the use of the flexible bronchoscope, the bronchopleural fistula of a 62-year-old critically ill woman was permanently sealed with a fibrin sealant and a small section of demineralized human spongiosa. Closure of bronchopleural fistulas with the application of fibrin sealant plus human spongiosa may offer a valuable addition to the armament of therapeutic alternatives.




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