Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: A case report

Autor: Daniele Scarano, Alfonso Fiorelli, Italia Odierna, M. Iannotti, Mario Santini, Francesco Paolo Caronia, Andrea Valentino Failla, Caterina Pace
Přispěvatelé: Fiorelli, A., Odierna, I., Scarano, D., Caronia, F., Failla, A., Iannotti, M., Santini, M., Pace, C.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Injection
Percutaneous
Fistula
Persistent air leaks
030204 cardiovascular system & hematology
Brain Ischemia
0302 clinical medicine
Tracheostomy
Bronchoscopy
Fibrin glue
medicine.diagnostic_test
General Medicine
Pleural Diseases
respiratory system
Cardiac surgery
Stroke
Cardiothoracic surgery
Cardiology and Cardiovascular Medicine
Human
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Necrotizing pneumonia
lcsh:Surgery
Bronchi
Fibrin Tissue Adhesive
Injections
lcsh:RD78.3-87.3
03 medical and health sciences
Alveolar pleural fistula
Case report
medicine
Humans
Pleural Disease
Persistent air leak
Aged
business.industry
Endoscopy
lcsh:RD1-811
Surgery
respiratory tract diseases
Pulmonary Alveoli
030228 respiratory system
lcsh:Anesthesiology
Pleural fistula
Bronchial Fistula
business
Zdroj: Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery, Vol 14, Iss 1, Pp 1-4 (2019)
Popis: Background The treatment of persistent air leak is a challenge. Herein, we reported the combined intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy to seal off an alveolar pleura fistula developed following necrotizing pneumonia in high-risk patient. Case presentation A 74-year-old man was intubated in emergency for acute ischemic stroke. Percutaneous dilatational tracheostomy was then performed, and 15 days later patient returned to spontaneous breathing. However, he developed alveolar pleural fistula following necrotizing pneumonia with persistent air leaks. The intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy sealed off the alveolar pleura fistula after that other endoscopic treatments as bronchial valve and intrabronchial fibrin glue application had failed. Conclusions Our strategy is safe and easy to reproduce. It represents an additional method in the armamentarium of the physicians for the management of PAL when all standard strategies are unfeasible or fail.
Databáze: OpenAIRE
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