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| A report about bronchopleural fistula after the treatment of atrial septal defect occluder |
| ZHANG LiYE Lian-huaWANG Gao-weiZHANG LeiCHEN YaTAN Hui▲HUANG Yun-chao |
| The First Department of Thoracic Surgery,Yunnan Cancer Hospital,Key laboratory of lung cancer research in Yunnan province,Kunming 650118,China |
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Abstract Bronchopleural fistula is one of the most rare but serious complications after pneumonectomy,with high mortality.Effective treatment is of great significance to the prognosis of bronchopleural fistula.At present,there are no relevant guidelines and standards for the treatment of bronchopleural fistula.In order to evaluate the clinical efficacy of atrial septal occluder for early bronchopleural fistula(BPF)after total pneumonectomy,this paper retrospectively analyzed the clinical data of one case diagnosed as bronchopleural fistula after total pneumonectomy in Yunnan cancer hospital in December 2016.The clinical manifestations of this patient are cough,expectoration,accompanied by blood in sputum,did chest CT and electronic bronchoscopy,then found left pulmonary bronchopleural fistula.According to the anatomical characteristics and pathological features of bronchopleural fistula,the atrial septal occluder was used to occlude the fistula.The first placement of the atrial septal occluder(6 mm)was successful,and the left pulmonary bronchial fistula was completely occluded after placement of the atrial septal occluder.Five days later,an electronic bronchoscopy was performed to assess the pulmonary and airway conditions and found that the left pulmonary bronchial stump occluder was displaced.To place the atrial septal occluder(18 mm)again,once placed successfully,and the fistula was completely occluded.The left pleural residual cavity disappeared completely after the occluder was placed for 3 months,the fistula healed and the pulmonary function improved obviously.The atrial septal occluder was used to occlude the early bronchopleural fistula after lobectomy.The operation was simple,the fistula healing was accelerated and the residual cavity disappeared.As well as improve the quality of life of patients,the clinical effect is good.A large number of clinical data shows that the atrial septal occluder is a scientific and effective method which owes the advantages of the treatment of bronchopleural fistula,rapid healing of fistula,good surgical safety,simple and convenient operation and less postoperative complications.It can be popularized and applied.
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