Treatment of empyema and bronchopleural fistula by bovine pericardium and latissimus flap

Yuan Ming Tsai, Shao Liang Chen, Chih Ming Hsieh, Cheng Kuang Chang, Ching Tzao

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Management of empyema with bronchopleural fistula remains a challenge. A 38-year-old man who had bullous emphysema was hospitalized on account of a right-sided necrotizing pneumonia complicated by empyema that mandated a tube drainage. Persistent air leak from the chest tube was noted, and chest computed tomography confirmed an empyema cavity with a suspicious bronchopleural fistula. This complex condition was successfully treated using fibrin glue with buttressed bovine pericardium to seal the fistula, followed by obliteration of the empyema cavity using a pedicled muscle flap of the latissimus dorsi. There was no recurrence of empyema at a follow-up 5 years after this procedure.

Original languageEnglish
JournalAnnals of Thoracic Surgery
Volume95
Issue number2
DOIs
Publication statusPublished - Feb 2013
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Fingerprint Dive into the research topics of 'Treatment of empyema and bronchopleural fistula by bovine pericardium and latissimus flap'. Together they form a unique fingerprint.

Cite this