Omentoplasty and Thoracoplasty for treating postpneumonectomy bronchopleural fistula in a patient previously submitted to aortic prosthesis implantation

doi:10.1186/1749-8090-4-38

Journal of Cardiothoracic Surgery

Volume 4

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Nosotti M
Cioffi U
De Simone M
Mendogni P
Palleschi A
Rosso L
Ciulla MM
Santambrogio L

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Nosotti M
Cioffi U
De Simone M
Mendogni P
Palleschi A
Rosso L
Ciulla MM
Santambrogio L
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Case report

Omentoplasty and Thoracoplasty for treating postpneumonectomy bronchopleural fistula in a patient previously submitted to aortic prosthesis implantation

Mario Nosotti¹ , Ugo Cioffi¹^,2 , Matilde De Simone¹^,2 , Paolo Mendogni¹ , Alessandro Palleschi¹ , Lorenzo Rosso¹ , Michele M Ciulla³ and Luigi Santambrogio¹

¹Department of Surgery-Thoracic and Transplant Unit, Fondazione IRCCS Ospedale Maggiore Policlinico, Milano; Università degli Studi di Milano, Milan, Italy

²Department of Surgery, Fondazione IRCCS Ospedale Maggiore Policlinico, Milano; Università degli Studi di Milano, Milan, Italy

³Department of Respiratory and Cardiovascular Disease, Fondazione IRCCS Ospedale Maggiore Policlinico, Milano; Università degli Studi di Milano, Milan, Italy

author email corresponding author email

Journal of Cardiothoracic Surgery 2009, 4:38doi:10.1186/1749-8090-4-38


Published:	24 July 2009

Abstract

Bronchopleural fistula following pneumonectomy is a serious and frightening complication in chest surgery with a high mortality rate. The possibility of curing this complication using a conservative treatment is extremely poor. Below we describe a case of a patient affected by left pleural empyema due to a postpneumonectomy bronchopleural fistula. The patient had previously undergone an aortic prosthesis implantation. He was successfully treated using omental pedicle in order to cover the bronchial stump, to fill the pleural space and to protect the aortic prosthesis. He also underwent thoracoplasty to collapse the residual pleural space. The postoperative course was uneventful. During the follow-up, after thirty months, the patient was asymptomatic, and no recurrence of the fistula was present.