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Ann Thorac Surg 2007;83:1519-1521
© 2007 The Society of Thoracic Surgeons

Case Reports

Bronchopleural Fistula Repair During Clagett Closure Utilizing a Collagen Matrix Plug

Subroto Paul, MDa, Simon G. Talbot, MDb, Matthew Carty, MDb, Dennis P. Orgill, MD, PhDb, Lambros Zellos, MD, MPHa,*

a Division of Thoracic Surgery, Boston, Massachusetts
b Division of Plastic Surgery, Department of Surgery, Brigham & Women’s Hospital, Boston, Massachusetts

Accepted for publication October 3, 2006.

* Address correspondence to Dr Zellos, Brigham and Women’s Hospital, Division of Thoracic Surgery, 75 Francis St, Boston, MA 02115 (Email: lzellos{at}partners.org).

We describe a 65-year-old man who was treated for an empyema after a right middle and lower lobectomy for adenocarcinoma with a Clagett procedure who subsequently had a bronchopleural fistula develop. After adequate debridement of the cavity through dressing changes, the right bronchus intermedius bronchopleural fistula was closed using a collagen porcine plug (Surgisis anal fistula plug [Cook Medical Inc, Bloomington, IN]) placed through the cavity into the fistula along with the placement of omentum into the cavity. This case report illustrates the utility of collagen plugs to close bronchopleural fistulas.




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