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Ann Thorac Surg 2005;79:2128-2130
© 2005 The Society of Thoracic Surgeons

Case report

A Novel Approach to the Management of Persistent Postpneumonectomy Bronchopleural Fistula

Brendan P. Madden, MD, FRCP*, Abhijat Sheth, FRCS, Timothy B.L. Ho, PhD, MRCP, Gregory R. McAnulty, FRCA, Richard E. Sayer, FRCS

Department of Cardiothoracic Surgery, St. George’s Hospital, London, United Kingdom

Accepted for publication December 10, 2003.

* Address reprint requests to Dr Madden, St. George’s Hospital, Blackshaw Rd, London SW17 0QT, UK (E-mail: brendan.madden{at}stgeorges.nhs.uk).

A 69-year-old man who had a left pneumonectomy for nonsmall cell lung cancer had a bronchopulmonary fistula develop that recurred after surgical closure. He had multiple organ failure develop precluding further operative intervention. Successful resolution of the fistula was achieved using a novel application of a covered expandable metallic stent.




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