Management of refractory postpneumonectomy empyema with bronchopleural fistula
A 39-year-old female has postoperative empyema with bronchial stump fistula (BSF) after pneumonectomy due to ineffective tuberculosis chemotherapy. Transpleural reamputation of the right main bronchial stump with simultaneous 8-rib thoracoplasty, 6 attempts at endobronchial valve implantation and th...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Thoracic Medicine |
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| Online Access: | https://journals.lww.com/10.4103/atm.atm_93_24 |
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| author | Oleg Shamilevich Kesaev Dmitry Borisovich Giller Sergey Sergeevich Saenko Elham Pahlevani Lyudmila Petrovna Severova |
| author_facet | Oleg Shamilevich Kesaev Dmitry Borisovich Giller Sergey Sergeevich Saenko Elham Pahlevani Lyudmila Petrovna Severova |
| author_sort | Oleg Shamilevich Kesaev |
| collection | DOAJ |
| description | A 39-year-old female has postoperative empyema with bronchial stump fistula (BSF) after pneumonectomy due to ineffective tuberculosis chemotherapy. Transpleural reamputation of the right main bronchial stump with simultaneous 8-rib thoracoplasty, 6 attempts at endobronchial valve implantation and thoracostomy have failed to cure BSF and empyema. Consequently, an alternative treatment-transsternal transpericardial wedge-shaped resection of the tracheal bifurcation was performed despite its difficulty and was successful. This clinical case demonstrates the complications of BSF with tuberculosis empyema treatment in spite of there existing many alternative therapies. The need for new more effective treatments is highlighted, as well as safe and less technically difficult interventions which could assist patients with BSF. |
| format | Article |
| id | doaj-art-95e61b87ceb5442697768f846098b7ac |
| institution | Kabale University |
| issn | 1817-1737 1998-3557 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Thoracic Medicine |
| spelling | doaj-art-95e61b87ceb5442697768f846098b7ac2025-02-06T04:51:14ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-35572025-01-01201788110.4103/atm.atm_93_24Management of refractory postpneumonectomy empyema with bronchopleural fistulaOleg Shamilevich KesaevDmitry Borisovich GillerSergey Sergeevich SaenkoElham PahlevaniLyudmila Petrovna SeverovaA 39-year-old female has postoperative empyema with bronchial stump fistula (BSF) after pneumonectomy due to ineffective tuberculosis chemotherapy. Transpleural reamputation of the right main bronchial stump with simultaneous 8-rib thoracoplasty, 6 attempts at endobronchial valve implantation and thoracostomy have failed to cure BSF and empyema. Consequently, an alternative treatment-transsternal transpericardial wedge-shaped resection of the tracheal bifurcation was performed despite its difficulty and was successful. This clinical case demonstrates the complications of BSF with tuberculosis empyema treatment in spite of there existing many alternative therapies. The need for new more effective treatments is highlighted, as well as safe and less technically difficult interventions which could assist patients with BSF.https://journals.lww.com/10.4103/atm.atm_93_24bronchial stump fistulaempyemapneumonectomytuberculosis |
| spellingShingle | Oleg Shamilevich Kesaev Dmitry Borisovich Giller Sergey Sergeevich Saenko Elham Pahlevani Lyudmila Petrovna Severova Management of refractory postpneumonectomy empyema with bronchopleural fistula Annals of Thoracic Medicine bronchial stump fistula empyema pneumonectomy tuberculosis |
| title | Management of refractory postpneumonectomy empyema with bronchopleural fistula |
| title_full | Management of refractory postpneumonectomy empyema with bronchopleural fistula |
| title_fullStr | Management of refractory postpneumonectomy empyema with bronchopleural fistula |
| title_full_unstemmed | Management of refractory postpneumonectomy empyema with bronchopleural fistula |
| title_short | Management of refractory postpneumonectomy empyema with bronchopleural fistula |
| title_sort | management of refractory postpneumonectomy empyema with bronchopleural fistula |
| topic | bronchial stump fistula empyema pneumonectomy tuberculosis |
| url | https://journals.lww.com/10.4103/atm.atm_93_24 |
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