Arteriobronchial fistula complicating right upper lobectomy
| Autor: | Robert Dziedzic, Adam Sternau, Tomasz Marjański |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Fistula medicine.medical_treatment Intrapericardial pneumonectomy Pulmonary Artery Pneumonectomy Fatal Outcome medicine.artery medicine Humans Embolization Vascular Fistula business.industry Middle Aged medicine.disease Surgery Pulmonary artery Non small cell Pulmonary hemorrhage Bronchial Fistula Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | The Annals of thoracic surgery. 96(4) |
| ISSN: | 1552-6259 |
| Popis: | Bronchial stump fistula (BSF) is a known complication after lobectomy, although its incidence after lobe resection for non-small cell lung cancer usually does not exceed 2%. We present the case of a patient in whom a late BSF developed that led to a fatal pulmonary hemorrhage 4 weeks after right upper lobectomy and 4 hours after emergency readmission. Such a pulmonary hemorrhage could have been prevented by pulmonary artery embolization and intrapericardial pneumonectomy. The decision to perform pneumonectomy as a preventative procedure without overt clinical symptoms was a difficult decision to reach, particularly given the likelihood of being unnecessarily aggressive. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|