Intrapleural Therapy for Empyema in the Setting of a Bronchopleural Fistula: A Novel Use of an Intrabronchial Valve

Nikita Leiter, Edward M. Pickering, Yashvir S. Sangwan, Whitney M. Burrows, Joseph S. Friedberg, Ashutosh Sachdeva

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Postsurgical empyema with bronchopleural fistula can be difficult to manage. We present a patient with postoperative empyema with bronchopleural fistula who was successfully treated nonoperatively by placing an intrabronchial valve to address the bronchopleural fistula, which allowed for safe administration of intrapleural fibrinolytics and antibiotics for definitive treatment of the empyema. Although the presence of a bronchopleural fistula is considered a contraindication to the administration of intrapleural tissue plasminogen activator and deoxyribonuclease, this case demonstrates a novel use of the intrabronchial valve that allowed these medications to be used.

Original languageEnglish
Pages (from-to)e111-e113
JournalAnnals of Thoracic Surgery
Volume106
Issue number3
DOIs
StatePublished - Sep 2018
Externally publishedYes

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