Endobronchial-Guided Vascularized Tissue Flaps for a Bronchopleural Fistula

Sarah M. Elswick; Basel Sharaf; Ziyad S. Hammoudeh; Ali I. Saeed; Eric S. Edell; David E. Midthun; Shanda H. Blackmon

doi:10.1016/j.athoracsur.2017.01.104

Endobronchial-Guided Vascularized Tissue Flaps for a Bronchopleural Fistula

Sarah M. Elswick, Basel Sharaf, Ziyad S. Hammoudeh, Ali I. Saeed, Eric S. Edell, David E. Midthun, Shanda H. Blackmon

Pulmonary and Critical Care Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

The management of bronchopleural fistulas can be challenging. The initial treatment is usually conservative, but operative intervention with transposition of vascularized pedicled flaps may be required in refractory cases. We present the case of a 67-year-old man with stage IIIa squamous cell carcinoma of the lung who underwent a lower and middle bilobectomy after receiving neoadjuvant chemoradiation. His postoperative course was complicated by empyema and a bronchopleural fistula. Because of difficulty accessing the fistula, endobronchial-guided vascularized tissue flaps were successfully used to close the fistula.

Original language	English (US)
Pages (from-to)	e1-e3
Journal	Annals of Thoracic Surgery
Volume	104
Issue number	1
DOIs	https://doi.org/10.1016/j.athoracsur.2017.01.104
State	Published - Jul 2017

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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title = "Endobronchial-Guided Vascularized Tissue Flaps for a Bronchopleural Fistula",

abstract = "The management of bronchopleural fistulas can be challenging. The initial treatment is usually conservative, but operative intervention with transposition of vascularized pedicled flaps may be required in refractory cases. We present the case of a 67-year-old man with stage IIIa squamous cell carcinoma of the lung who underwent a lower and middle bilobectomy after receiving neoadjuvant chemoradiation. His postoperative course was complicated by empyema and a bronchopleural fistula. Because of difficulty accessing the fistula, endobronchial-guided vascularized tissue flaps were successfully used to close the fistula.",

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AU - Elswick, Sarah M.

AU - Sharaf, Basel

AU - Hammoudeh, Ziyad S.

AU - Saeed, Ali I.

AU - Edell, Eric S.

AU - Midthun, David E.

AU - Blackmon, Shanda H.

PY - 2017/7

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N2 - The management of bronchopleural fistulas can be challenging. The initial treatment is usually conservative, but operative intervention with transposition of vascularized pedicled flaps may be required in refractory cases. We present the case of a 67-year-old man with stage IIIa squamous cell carcinoma of the lung who underwent a lower and middle bilobectomy after receiving neoadjuvant chemoradiation. His postoperative course was complicated by empyema and a bronchopleural fistula. Because of difficulty accessing the fistula, endobronchial-guided vascularized tissue flaps were successfully used to close the fistula.

AB - The management of bronchopleural fistulas can be challenging. The initial treatment is usually conservative, but operative intervention with transposition of vascularized pedicled flaps may be required in refractory cases. We present the case of a 67-year-old man with stage IIIa squamous cell carcinoma of the lung who underwent a lower and middle bilobectomy after receiving neoadjuvant chemoradiation. His postoperative course was complicated by empyema and a bronchopleural fistula. Because of difficulty accessing the fistula, endobronchial-guided vascularized tissue flaps were successfully used to close the fistula.

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Endobronchial-Guided Vascularized Tissue Flaps for a Bronchopleural Fistula

Abstract

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