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Case reports

The use of a bone substitute composite in the management of a post-pneumonectomy bronchopleural fistula

^a Department of Thoracic Surgery and Oncology, National Cancer Institute, Pascale Foundation, Via Semmola 81, 80131 Naples, Italy
^b Department of Radiodiagnostics, National Cancer Institute, Pascale Foundation, Naples, Italy
^c Division of Anaesthesia, National Cancer Institute, Pascale Foundation, Naples, Italy

Received 5 January 2009; received in revised form 7 April 2009; accepted 8 April 2009.

^_* Corresponding author. Tel.: +39 0815903263; fax: +39 0815903823. (Email: Gaetano.Rocco{at}btopenworld.com).

Post-pneumonectomy bronchopleural fistulas (BPFs) still represent a formidable therapeutic challenge. Several procedures have been proposed of which the least invasive are gaining distinct recognition and favour. We report the case of small-sized BPF treated by plastering the bronchial stump with a combination of bone substitute composite sprayed on a scaffold made of a Vycril mesh and placed on the mediastinal pleura overlying the right hilum.

Key Words: Pneumonectomy • Bronchopleural fistula • Sealant