Right thoracotomy approach for treatment of left bronchopleural fistula after pneumonectomy for tubercolosis

Pneumonectomy for pulmonary tuberculosis is a rare option but can sometimes be necessary in cases of destroyed lung, resulting from a previous or persistent chronic infection. Bronchopleural fistula on the bronchial stump may develop as a postoperative complication, favoured by the long-lasting infe...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2020-12, Vol.68 (12), p.1539-1542
Main Authors: De Palma, Angela, Maruccia, Michele, Di Gennaro, Francesco
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Bronchi - surgery
Bronchial Fistula - diagnostic imaging
Bronchial Fistula - etiology
Bronchial Fistula - surgery
Bronchoscopy
Cardiac Surgery
Cardiology
Case Report
Chronic illnesses
Dissection
Female
Fistula
Humans
Infectious diseases
Medical imaging
Medicine
Medicine & Public Health
Ostomy
Pneumonectomy
Pneumonectomy - adverse effects
Postoperative Complications
Surgical Oncology
Thoracic Surgery
Thoracotomy
Tomography, X-Ray Computed
Tuberculosis
Tuberculosis, Pulmonary - surgery
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Summary:Pneumonectomy for pulmonary tuberculosis is a rare option but can sometimes be necessary in cases of destroyed lung, resulting from a previous or persistent chronic infection. Bronchopleural fistula on the bronchial stump may develop as a postoperative complication, favoured by the long-lasting infectious disease and the poor nutritional status. Right-sided approach can be used for treatment of left bronchopleural fistula after pneumonectomy. We report a rare case of left bronchopleural fistula after pneumonectomy for pulmonary tuberculosis in a 38-year-old woman, treated by re-closure and re-stapling of the left main bronchial stump through a right thoracotomy approach. The patient is in excellent general condition and without evidence of bronchopleural fistula and tuberculosis at 3 years from re-closure of the left bronchial stump through right thoracotomy. This approach allowed a successful and safe management of our case of left bronchopleural fistula after pneumonectomy for tuberculosis, without short and long-term complications.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-020-01307-4