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Ann Thorac Surg 2009;88:1691-1692. doi:10.1016/j.athoracsur.2009.03.012
© 2009 The Society of Thoracic Surgeons
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Right arrow Trachea and bronchi

Case Reports

Successful Endobronchial Seal of Surgical Bronchopleural Fistulas Using BioGlue

Harpreet Ranu, MRCP, Timothy Gatheral, MRCP, Abhijat Sheth, FRCS, Edward E.J. Smith, FRCS, Brendan P. Madden, MD, FRCP*

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

Accepted for publication March 6, 2009.

* Address correspondence to Dr Madden, Department of Cardiothoracic Surgery, St. George's Hospital, Blackshaw Rd, London, SW17 0QT, United Kingdom (Email: brendan.madden{at}stgeorges.nhs.uk).

Postoperative bronchopleural fistula is uncommon, but it is associated with a high mortality and morbidity, and a prolonged hospital stay. Surgical treatment is gold standard, but it can prove challenging especially in the presence of infection. We describe three cases of bronchopleural fistula that developed after surgery for lung cancer in 1 patient and for bronchiectasis in 2 patients. All were successfully treated endoscopically by direct application of albumin-glutaraldehyde tissue adhesive (BioGlue; Cryolife Inc, Kennesaw, GA) through a rigid bronchoscope. Complete resolution was obtained in each patient within 24 hours.






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