Closure of a broncho-pleural fistula using an atrial septal defect occluder

Thomas Pasley; Peter N Ruygrok; Nicolas Kang; Mark O'Carroll; John Kolbe; David Morrice

doi:10.1016/j.hlc.2013.10.092

Closure of a broncho-pleural fistula using an atrial septal defect occluder

Heart Lung Circ. 2014 Mar;23(3):e92-5. doi: 10.1016/j.hlc.2013.10.092. Epub 2013 Nov 15.

Authors

Thomas Pasley¹, Peter N Ruygrok², Nicolas Kang³, Mark O'Carroll⁴, John Kolbe⁴, David Morrice⁵

Affiliations

¹ Department of Cardiology, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand. Electronic address: [email protected].
² Department of Cardiology, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
³ Department of Cardiac Surgery, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
⁴ Department of Respiratory Medicine, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.
⁵ Department of Cardiac Anaesthesia, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand; Department of Medicine, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142 New Zealand.

PMID: 24315634
DOI: 10.1016/j.hlc.2013.10.092

Abstract

Broncho-pleural fistulae (BPF) are recognised as a rare complication following pneumonectomy. We describe a patient, who after failing conservative treatment, underwent closure of a persistent fistula with an atrial septal defect (ASD) occluder. Additionally we review the literature regarding management of BPF and the emerging role of cardiac defect closure devices as a possible treatment option.

Keywords: Atrial septal defect occluder; Broncho-pleural fistula; Clostridium difficile; Empyema; Pneumonectomy.

Copyright © 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Bronchi* / pathology
Bronchi* / surgery
Bronchial Fistula* / etiology
Bronchial Fistula* / pathology
Bronchial Fistula* / surgery
Heart Septal Defects, Atrial* / pathology
Heart Septal Defects, Atrial* / surgery
Humans
Male
Pleura*
Pneumonectomy / adverse effects*
Postoperative Complications* / pathology
Postoperative Complications* / surgery