Bronchopleural Fistula Management With an Amplatzer Duct Occluder: A Comprehensive Case Report and Literature Review.

amplatzer occluder bronchial stump insufficiency bronchopleural fistula endoscopic treatment postpneumonectomy empyema

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Nov 2023
Historique:
accepted: 25 11 2023
medline: 27 12 2023
pubmed: 27 12 2023
entrez: 27 12 2023
Statut: epublish

Résumé

Bronchial stump insufficiency (BSI), also reported as bronchopleural fistula, following pneumonectomy is a rare but potentially devastating complication that can result in substantial morbidity and mortality. Despite advances in thoracic surgical techniques and perioperative care, bronchial stump dehiscence remains a challenging clinical scenario, especially when associated with severe infections and compromised patient conditions. Traditional surgical re-intervention to address this complication may carry significant risks and might be contraindicated in certain patients. As a result, innovative interventions are necessary to address these challenging cases effectively. In this report, we present an interventional endoscopic technique using an Amplatzer Duct occluder for the successful management of BSI in a 55-year-old male patient with a complex medical history.

Identifiants

pubmed: 38149159
doi: 10.7759/cureus.49431
pmc: PMC10750560
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e49431

Informations de copyright

Copyright © 2023, Leivaditis et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Vasileios Leivaditis (V)

Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, DEU.

Hermann Braun-Lambur (H)

Department of Pneumonology, Westpfalz-Klinikum, Kaiserslautern, DEU.

Volker Windmüller (V)

Department of Cardiology, Westpfalz-Klinikum, Kaiserslautern, DEU.

Athanasios Papatriantafyllou (A)

Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, DEU.

Carmen Huwe (C)

Department of Pneumonology, Westpfalz-Klinikum, Kaiserslautern, DEU.

David Lang (D)

Department of Pneumonology, Westpfalz-Klinikum, Kaiserslautern, DEU.

Konstantinos Grapatsas (K)

Department of Thoracic Surgery and Thoracic Endoscopy, University Medicine Essen - Ruhrlandklinik, Essen, DEU.

Efstratios N Koletsis (EN)

Department of Cardiothoracic Surgery, General University Hospital of Patras, Patras, GRC.

Francesk Mulita (F)

Department of Surgery, General University Hospital of Patras, Patras, GRC.

Manfred Dahm (M)

Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, DEU.

Classifications MeSH