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J Thorac Cardiovasc Surg 2007;134:531-533
© 2007 The American Association for Thoracic Surgery

Brief Communication

Interventional closure of postpneumonectomy bronchial pleural fistula with a self-expandable double umbrella–shaped occluder knitted with nitinol shape memory alloy

Jianhua Zhang, MD, PhDa,*, Shengshou Hu, MD, PhDb,*, Bingren Gao, MD, PhDa, Debin Liu, MD, PhDb, Feixue Song, MDa, Bin Li, MDa, Yongzhu Yang, MDa, Shenjun Zhu, MD, PhDc, Zhiping Wang, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, The Second Hospital of Lanzhou University, Lanzhou, China
b Department of Surgery, Cardiovascular Institute and Fuwai Hospital, Beijing, China
c The Medical College of Tsinghua University, Beijing, China.

Received for publication January 9, 2007; revisions received March 14, 2007; accepted for publication March 16, 2007.

* Address for reprint: Jian-hua Zhang, MD, PhD, Department of Thoracic and Cardiovascular Surgery, The Second Hospital of Lanzhou University, Lanzhou 730030, China. (Email: Zhangjianhua68@yahoo.com.cn; huss@163bj.com).

* Address for reprint: Sheng-shou Hu, MD, PhD, Department of Cardiovascular Surgery, Cardiovascular Institute and Fu-Wai Hospital, Beijing 100037, China. (Email: Zhangjianhua68@yahoo.com.cn; huss@163bj.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Zhang


Postpneumonectomy bronchial pleural fistula (PBPF) is one of the most serious complications in cardiac surgery.1Go Surgical repair of PBPF would be of high risk. The interventional procedures available have limited effects on fistulas with larger orifices. We designed a double-umbrella occluder and used it in 6 patients from April 2002 through November 2006. The results are as follows.

Clinical Summary

A total of 6 patients (4 male and 2 female patients; age range, approximately 34–74 years) were included in this study. Patients had tuberculous thick walled cavity (n = 1), tuberculosis-destroyed lungs (n = 2), chronic lung abscess (n = 1), and central-type lung cancer (n = 2). One patient had preoperative radiotherapy, 1 patient had diabetes mellitus and an older age (74 years), and 1 patient had concomitant dyscrasia. A left entire pneumonectomy was performed in 4 patients, and a right entire pnemuonectomy was performed in 2 patients. The bronchial stump was closed by using manual suturing in 4 patients and a suture stapler in 2 patients. Fistulas and empyema occurred on postoperative . . . [Full Text of this Article]






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