Successful Repair of Bronchopleural Fistula After Lung Transplantation
Author Information
Author(s): Khan Nouman U, Al-Aloul Mohamed, Khasati Noman, Machaal Ali, Leonard Colm T, Yonan Nizar
Primary Institution: Department of Cardiothoracic Transplant, Wythenshawe Hospital, Manchester, UK
Conclusion
The combination of pedicled intercostal and pericardial flaps provides adequate vascular tissue for sealing a large bronchopleural fistula following lung transplantation, with veno-venous ECMO facilitating recovery.
Supporting Evidence
- The patient developed a bronchopleural fistula on the 14th post-operative day.
- Veno-venous ECMO was used to support the patient during the repair of the fistula.
- The surgical repair involved using pericardial and intercostal flaps.
Takeaway
A man who had a lung transplant developed a serious problem called a bronchopleural fistula, but doctors were able to fix it using special tissue flaps and a machine that helped him breathe while he healed.
Methodology
The patient underwent bilateral sequential lung transplantation and was treated for a bronchopleural fistula using veno-venous ECMO and surgical repair with tissue flaps.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 47-year-old man with end-stage respiratory failure due to cystic fibrosis.
Digital Object Identifier (DOI)
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