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Ann Thorac Surg 2007;84:1383-1386
© 2007 The Society of Thoracic Surgeons

Case Reports

Treatment of Bronchopleural Fistula With Small Intestinal Mucosa and Fibrin Glue Sealant

Scott J. Keckler, MD, Troy L. Spilde, MD, Shawn D. St. Peter, MD, KuoJen Tsao, MD, Daniel J. Ostlie, MD*

Department of Surgery, The Children’s Mercy Hospital, Kansas City, Missouri

Accepted for publication May 3, 2007.

* Address correspondence to Dr Ostlie, Department of Surgery, Children’s Mercy Hospital, 2401 Gillham Rd, Kansas City, MO 64108 (Email: dostlie{at}cmh.edu).

Bronchopleural fistula can be a devastating complication of pulmonary resections. Treatment options are often limited and carry significant morbidity or mortality, or both. We present a case of bronchopleural fistula occurring after pulmonary lobectomy for aspergilloma in a patient with recurrent acute lymphoblastic leukemia. The bronchopleural fistula was treated using bronchoscopic obliteration with Tisseel VH Fibrin Sealant (Baxter Healthcare Corp, Westlake Village, CA) and small intestinal submucosa with complete resolution and no morbidity. The relevant literature is reviewed.






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Copyright © 2007 by The Society of Thoracic Surgeons.