Abstract
A bronchopleural fistula (BPF) is traditionally treated by surgery, but currently various noninvasive forms of management, particularly the use of bronchoscopy, have been utilized. The substances and methods for noninvasive management of a BPF differ with individual clinicians. This case describes the use of flexible bronchoscopic treatment of a BPF complicating pneumoniausing embolization coils and intraluminally injected fibrin glue. If the BPF is small and is located on the peripheral bronchus, this minimal invasive maneuver could be recommended for the treatment of a BPF.
References
1. Puskas JD, Mathisen DJ, Grillo HC, Wain JC, Wright CD, Moncure AC. Treatment strategies for bronchopleural fistula. J Thorac Cardiovasc Surg. 1995. 109:989–995.
2. Lois M, Noppen M. Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management. Chest. 2005. 128:3955–3965.
3. Galetta D, Veronesi G, Solli P, Petrella F, Borri A, Gasparri R, et al. A safe and effective method for an immediate bronchopleural fistula repair. Minerva Chir. 2007. 62:137–139.
4. Hartmann W, Rausch V. New therapeutic application of the fiberoptic bronchoscope. Chest. 1997. 71:237.
5. Na KJ, Kim BP, Hong SB, Choi YS, Kim SH, Ahn BH. Endobronchial closure of postoperative bronchopleural fistula using vascular occluding coils. Korean J Thorac Cardiovasc Surg. 2005. 38:72–75.
6. Choi YI, Cho JH, Shim JY, Sheen SS, Oh YJ, Park JH, et al. A case of RUL bronchopleural fistula occluded by flexible bronchoscope with Endobronchial Watanabe Spigot (EWS). Tuberc Respir Dis. 2005. 58:404–409.
7. Varoli F, Roviaro G, Grignani F, Vergani C, Maciocco M, Rebuffat C. Endoscopic treatment of bronchopleural fistulas. Ann Thorac Surg. 1998. 65:807–809.