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Ann Thorac Surg ; 92(2): e23-5, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21801895

ABSTRACT

We present a case of lower bilobectomy complicated by a large bronchopleural fistula and empyema 1 month after primary surgery. The patient was immediately treated with an open window thoracostomy. After surgical debridement, an Amplatzer Septal Occluder device (AGA Medical Corp, Plymouth, MN) was positioned to close the fistula. Thereafter, the thoracostomy rapidly and spontaneously closed with vacuum-assisted closure therapy.


Subject(s)
Bronchial Fistula/surgery , Empyema, Pleural/surgery , Fistula/surgery , Methicillin-Resistant Staphylococcus aureus , Negative-Pressure Wound Therapy , Pleural Diseases/surgery , Pneumonectomy , Postoperative Complications/surgery , Septal Occluder Device , Staphylococcal Infections/surgery , Thoracic Surgery, Video-Assisted/methods , Thoracostomy/methods , Adenocarcinoma/pathology , Adenocarcinoma/surgery , Aged , Bronchoscopy , Debridement/methods , Humans , Image Processing, Computer-Assisted , Imaging, Three-Dimensional , Lung Neoplasms/pathology , Lung Neoplasms/surgery , Male , Neoplasm Staging , Tomography, X-Ray Computed
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