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Ann Thorac Surg 1999;67:575-577
© 1999 The Society of Thoracic Surgeons

How To Do It

Ablation of persistent air leaks after thoracic procedures with fibrin sealant

Patricia A. Thistlethwaite, MD, PhDa, James D. Luketich, MDb, Peter F. Ferson, MDb, Robert J. Keenan, MDb, Stuart W. Jamieson, MBa

a Division of Cardiothoracic Surgery, University of California, San Diego, San Diego, California, USA
b Division of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

Accepted for publication July 26, 1998.

Address reprint requests to Dr Thistlethwaite, Division of Cardiothoracic Surgery, 200 W Arbor Dr, University of California, San Diego, San Diego, CA 92103-8892

Prolonged air leak after thoracic procedures was successfully treated in 11 of 12 patients under local anesthesia using video thoracoscopic instillation of fibrin sealant over the site of the leak. No related complications occurred. This method should be considered an effective option for the treatment of persistent pulmonary air leaks.




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