Use of the Free Flap for Large Defect with Bronchopleural Fistula: Case Report

  • Park, Joo Seok (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Se Hoon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Eun Key (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2014.03.12
  • Accepted : 2014.04.21
  • Published : 2014.05.30

Abstract

Bronchopleural fistula is an unnatural communication between the bronchial tree and pleural space. Closure of the bronchial stump using various muscular flaps has been previously reported. There have been few reports on treatment of large defects with bronchopleural fistula accompanied by surrounding muscle injury. We report on our experience with two patients suffering from large defect with bronchopleural fistula, who were treated with free flaps. No recurrence of bronchopleural fistula was observed during follow-up.

Keywords

References

  1. Woodruff W. The recongnition and management of bronchopleural fistula. Am J Surg 1941;54:236-51. https://doi.org/10.1016/S0002-9610(41)90025-9
  2. Hollaus PH, Lax F, el-Nashef BB, Hauck HH, Lucciarini P, Pridun NS. Natural history of bronchopleural fistula after pneumonectomy: a review of 96 cases. Ann Thorac Surg 1997;63:1391-6; discussion 1396-7. https://doi.org/10.1016/S0003-4975(97)00409-8
  3. McManigle JE, Fletcher GL, Tenholder MF. Bronchoscopy in the management of bronchopleural fistula. Chest 1990;97:1235-8. https://doi.org/10.1378/chest.97.5.1235
  4. Jester I, Nijran A, Singh M, Parikh DH. Surgical management of bronchopleural fistula in pediatric empyema and necrotizing pneumonia: efficacy of the serratus anterior muscle digitation flap. J Pediatr Surg 2012;47:1358-62. https://doi.org/10.1016/j.jpedsurg.2011.12.012
  5. Hollaus PH, Huber M, Lax F, Wurnig PN, Bohm G, Pridun NS. Closure of bronchopleural fistula after pneumonectomy with a pedicled intercostal muscle flap. Eur J Cardiothorac Surg 1999;16:181-6. https://doi.org/10.1016/S1010-7940(99)00164-5
  6. Asamura H, Naruke T, Tsuchiya R, Goya T, Kondo H, Suemasu K. Bronchopleural fistulas associated with lung cancer operations. Univariate and multivariate analysis of risk factors, management, and outcome. J Thorac Cardiovasc Surg 1992;104:1456-64.
  7. Algar FJ, Alvarez A, Aranda JL, Salvatierra A, Baamonde C, Lopez-Pujol FJ. Prediction of early bronchopleural fistula after pneumonectomy: a multivariate analysis. Ann Thorac Surg 2001;72:1662-7. https://doi.org/10.1016/S0003-4975(01)03096-X
  8. Arnold PG, Pairolero PC, Waldorf JC. The serratus anterior muscle: intrathoracic and extrathoracic utilization. Plast Reconstr Surg 1984;73:240-8. https://doi.org/10.1097/00006534-198402000-00015