After MS and selective ventilation of the left lung, the right main bronchus was opened and the foreign body removed, with repair of the bronchopleural
fistula is a very serious complication post-operative lung resection associated with significant morbidity and a mortality of up to 67% (1) It has a reported incidence of up to 20% post pneumonectomy (2).
fistula (3), pyopneumothorax (2), pneumatoceles (4), lung abscess (1), mechanical ventilation >48 h (2), severe anemia requiring blood transfusion (2), severe hypoalbuminemia requiring seroalbumin replacement (1).
The patient had some underlying bullous lung disease, as I remember, and bilateral bronchopleural
fistulae following chest trauma.
6% of those with cavitary coccidioidomycosis, will have spontaneous hydropneumothorax as a consequence of rupture of a subpleural, thin-walled cavity with associated bronchopleural
Delayed complications can include spontaneous pneumothorax, secondary to rupture of bleb or ectatic bronchus to the pleura, and development of bronchopleural
fistula, secondary to superimposed infection on a previously radiated lung parenchyma (Figures 22 and 23).
However, this literature does not address the complex, frequent and most debilitating problem of persistent pleural spaces in chronic empyema with or without bronchopleural
Other reported complications are bronchopleural
fistula, pulmonary abscesses, parapneumonic effusions, empyema, pyopneumothorax(15,16), bronchial reactivity(17), eosinophillic alveolitis(18), ARDS(15,19) and severe multi-organ failure(20).
Four patients experienced long-term sequelae: hemoptysis caused by aspergilloma necessitating pulmonary resection (1 patient), bronchiectasis and recurrent respiratory infections (2 patients), and bronchopleural
fistula after pneumonectomy (1 patient).
41) However, this is a technically difficult surgery, and bronchopleural
fistula is the most common surgical complication.
Jet ventilation is widely used in premature infant and neonatal care' and, in adults, mainly restricted to the conservative treatment of bronchopleural
Reported complications include bronchial tear, pulmonary artery laceration and bronchopleural