Closure of a Broncho-pleural Fistula Using an Atrial Septal Defect Occluder

Broncho-pleural fistulae (BPF) are recognised as a rare complication following pneumonectomy. We describe a patient, who after failing conservative treatment, underwent closure of a persistent fistula with an atrial septal defect (ASD) occluder. Additionally we review the literature regarding manage...

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Veröffentlicht in:	Heart, lung & circulation lung & circulation, 2014-03, Vol.23 (3), p.e92-e95
Hauptverfasser:	Pasley, Thomas, MD, Ruygrok, Peter N., MD, Kang, Nicolas, MD, O’Carroll, Mark, MD, Kolbe, John, MD, Morrice, David, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Atrial septal defect occluder Bronchi - pathology Bronchi - surgery Bronchial Fistula - etiology Bronchial Fistula - pathology Bronchial Fistula - surgery Broncho-pleural fistula Cardiovascular Clostridium difficile Empyema Heart Septal Defects, Atrial - pathology Heart Septal Defects, Atrial - surgery Humans Male Pleura Pneumonectomy Pneumonectomy - adverse effects Postoperative Complications - pathology Postoperative Complications - surgery
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Zusammenfassung:	Broncho-pleural fistulae (BPF) are recognised as a rare complication following pneumonectomy. We describe a patient, who after failing conservative treatment, underwent closure of a persistent fistula with an atrial septal defect (ASD) occluder. Additionally we review the literature regarding management of BPF and the emerging role of cardiac defect closure devices as a possible treatment option.
ISSN:	1443-9506 1444-2892
DOI:	10.1016/j.hlc.2013.10.092