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Eur J Cardiothorac Surg 2007;31:328-330. doi:10.1016/j.ejcts.2006.11.002
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case report

Bronchoscopic gluing for post-lung-transplant bronchopleural fistula

Chin-Chih Changa, Hsao-Hsun Hsua, Shuenn-Wen Kuoa,b, Yung-Chie Leea,b,*

a Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan S. Rd, Taipei, Taiwan
b Department of Traumatology, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan S. Rd, Taipei, Taiwan

Received 10 August 2006; received in revised form 31 October 2006; accepted 1 November 2006.

* Corresponding author. Tel.: +886 2 23123456x5327; fax: +886 2 33933989. (Email: wuj{at}ha.mc.ntu.edu.tw).

A 44-year-old female patient diagnosed as pulmonary lymphangioleiomyomatosis with respiratory failure underwent bilateral sequential lung transplantation using an entire left lung and a post-lower-lobectomy right lung due to pneumonia. Persistent air leakage during cough was noted and bronchoscopy 12 days after transplantation demonstrated post-lobectomy bronchial stump dehiscence with a large bronchopleural fistula. We applied twice tissue glue instillation on the dehiscent bronchial stump through flexible bronchoscopy. The air leak improved and the patient was discharged 3 months after transplantation uneventfully. Two months after discharge, bronchoscopy showed complete healing of the dehiscent bronchial stump. Now, she lives independently without oxygen support.

Key Words: Fistula • Transplantation, lung • Lobectomy • Glue, biologic • Bronchoscopy




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J. F. Santacruz and A. C. Mehta
Airway Complications and Management after Lung Transplantation: Ischemia, Dehiscence, and Stenosis
Proceedings of the ATS, January 15, 2009; 6(1): 79 - 93.
[Abstract] [Full Text] [PDF]


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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.