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The Annals of Thoracic Surgery, Vol 56, 357-358, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Hemorrhage due to inflammatory erosion of the pulmonary artery stump in postpneumonectomy bronchopleural fistula

K Khargi, VA Duurkens, PJ Knaepen and AB de la Riviere
Department of Thoracic Surgery, Academic Hospital Leiden, The Netherlands.

Bleeding from the pulmonary artery in patients with a bronchopleural fistula after pneumonectomy is a rare but devastating complication. The incidence is unknown, but our data suggest an incidence of 4% in all postpneumonectomy bronchopleural fistulas. Two case histories are presented in which the anterior transpericardial approach was used to stop the pulmonary bleeding by direct suturing. Nevertheless, 1 patient died 5 days later because of irreversible brain damage; the other patient recovered well after a protracted convalescence.




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Copyright © 1993 by The Society of Thoracic Surgeons.