TY - JOUR
T1 - Intrapleural Therapy for Empyema in the Setting of a Bronchopleural Fistula
T2 - A Novel Use of an Intrabronchial Valve
AU - Leiter, Nikita
AU - Pickering, Edward M.
AU - Sangwan, Yashvir S.
AU - Burrows, Whitney M.
AU - Friedberg, Joseph S.
AU - Sachdeva, Ashutosh
N1 - Publisher Copyright:
© 2018 The Society of Thoracic Surgeons
PY - 2018/9
Y1 - 2018/9
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85051628754&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2018.03.023
DO - 10.1016/j.athoracsur.2018.03.023
M3 - Article
C2 - 29660355
AN - SCOPUS:85051628754
SN - 0003-4975
VL - 106
SP - e111-e113
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 3
ER -