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 journalArticle

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

Fingerprint

Empyema
Pericardium
Fistula
Therapeutics
Chest Tubes
Fibrin Tissue Adhesive
Surgical Flaps
Superficial Back Muscles
Emphysema
Drainage
Thorax
Air
Tomography
Recurrence
Muscles

ASJC Scopus subject areas

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

Cite this

Treatment of empyema and bronchopleural fistula by bovine pericardium and latissimus flap. / Tsai, Yuan Ming; Chen, Shao Liang; Hsieh, Chih Ming; Chang, Cheng Kuang; Tzao, Ching.

In: Annals of Thoracic Surgery, Vol. 95, No. 2, 02.2013.

Research output: Contribution to journalArticle

Tsai, Yuan Ming ; Chen, Shao Liang ; Hsieh, Chih Ming ; Chang, Cheng Kuang ; Tzao, Ching. / Treatment of empyema and bronchopleural fistula by bovine pericardium and latissimus flap. In: Annals of Thoracic Surgery. 2013 ; Vol. 95, No. 2.
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