Bronchopleural fistula repair during Clagett closure utilizing a collagen matrix plug

Ann Thorac Surg. 2007 Apr;83(4):1519-21. doi: 10.1016/j.athoracsur.2006.10.017.

Abstract

We describe a 65-year-old man who was treated for an empyema after a right middle and lower lobectomy for adenocarcinoma with a Clagett procedure who subsequently had a bronchopleural fistula develop. After adequate debridement of the cavity through dressing changes, the right bronchus intermedius bronchopleural fistula was closed using a collagen porcine plug (Surgisis anal fistula plug [Cook Medical Inc, Bloomington, IN]) placed through the cavity into the fistula along with the placement of omentum into the cavity. This case report illustrates the utility of collagen plugs to close bronchopleural fistulas.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Aged
  • Bronchial Fistula / diagnostic imaging
  • Bronchial Fistula / surgery*
  • Bronchoscopy / methods
  • Collagen / therapeutic use*
  • Follow-Up Studies
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery
  • Male
  • Pleural Diseases / diagnostic imaging
  • Pleural Diseases / surgery*
  • Pneumonectomy / adverse effects*
  • Pneumonectomy / methods
  • Postoperative Complications / surgery
  • Radiography
  • Risk Assessment
  • Surgical Instruments*
  • Treatment Outcome

Substances

  • Collagen