Pneumonectomy for pulmonary tuberculosis is a rare option but can sometimes be necessary in cases of destroyed lung, resulting from a previous or persistent chronic infection. Bronchopleural fistula on the bronchial stump may develop as a postoperative complication, favoured by the long-lasting infectious disease and the poor nutritional status. Right-sided approach can be used for treatment of left bronchopleural fistula after pneumonectomy. We report a rare case of left bronchopleural fistula after pneumonectomy for pulmonary tuberculosis in a 38-year-old woman, treated by re-closure and re-stapling of the left main bronchial stump through a right thoracotomy approach. The patient is in excellent general condition and without evidence of bronchopleural fistula and tuberculosis at 3 years from re-closure of the left bronchial stump through right thoracotomy. This approach allowed a successful and safe management of our case of left bronchopleural fistula after pneumonectomy for tuberculosis, without short and long-term complications.
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Sayir F, Ocakcioglu I, Şehitoğulları A, Çobanoğlu U. Clinical analysis of pneumonectomy for destroyed lung: a retrospective study of 32 patients. Gen Thorac Cardiovasc Surg. 2019;67(6):530–6.
Di Gennaro F, Pizzol D, Cebola B, Stubbs B, Monno L, Saracino A, et al. Social determinants of therapy failure and multi drug resistance among people with tuberculosis: a review. Tuberculosis (Edinburg). 2017;103:44–51.
Wang L, Xia F, Li F, Qian X, Zhu Y, Chen H, Bian A, et al. Pulmonary resection in the treatment of multidrug-resistant tuberculosis: a case series. Medicine (Baltimore). 2017;96(50):e9109.
Moreno P, Lang G, Taghavi S, Aigner C, Marta G, De Palma A, et al. Right-sided approach for management of left-main-bronchial stump problems. Eur J Cardio-Thorac Surg. 2011;40(4):926–30.
Fumo AMT, Garofalo N, Chhaganlal KD, Di Gennaro F, Boscardin C, Laforgia R, et al. HIV and surgery: an issue only for developed country? An overview from Mozambique. Euromediterr Biomed J. 2016;11(12):92–100.
Padhi RK, Lynn RB. The management of bronchopleural fistulas. J Thorac Cardiovasc Surg. 1960;39:385–93.
Abruzzini P. Trattamento chirurgico delle fistole del bronco principale consecutive a pneumonectomia per tubercolosi. Chirur Torac. 1961;14:165–71.
Azorin JF, Francisci MP, Tremblay B, Larmignat P, Carvaillo D. Closure of a postpneumonectomy main bronchus fistula using video-assisted mediastinal surgery. Chest. 1996;109:1097–8.
Perelman MI, Ambatiello GP. Transpleuraler, transsternaler und kontralateraler zugang bei operationen wegen bronchialfistel nach pneumonektomie. Thoraxchirurgie. 1970;18:45–57.
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De Palma, A., Maruccia, M. & Di Gennaro, F. Right thoracotomy approach for treatment of left bronchopleural fistula after pneumonectomy for tubercolosis. Gen Thorac Cardiovasc Surg (2020). https://doi.org/10.1007/s11748-020-01307-4
- Bronchopleural fistula
- Pulmonary tuberculosis
- Left pneumonectomy
- Right thoracotomy approach