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The Annals of Thoracic Surgery, Vol 53, 686-688, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Endobronchial closure of a postpneumonectomy bronchopleural fistula

JC Opie, CC Vaughn, RA Comp, JM Radford, P Lowell and C Finch
Department of Cardiothoracic Surgery, Phoenix Baptist Hospital, Arizona.

Successful permanent endobronchial closure of a serious postpneumonectomy bronchopleural fistula is reported in a patient with a delayed diagnosis of Mycobacterium fortuitum-cheloni infection. Increasing experience, improved plugging agents, and a review of the literature suggest that in selected patients, this procedure can avoid complex repeat operations and reverse life-threatening situations. Although atypical mycobacterial infections occur with infrequency, they are difficult to treat and may lead, as in this patient, to a misdiagnosis. Operations on granulomatous tissues are prone to heal poorly, thus inviting tissue breakdown and chronic fistulas.

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