Management of Complications After Lung Resection: Prolonged Air Leak and Bronchopleural Fistula

James M. Clark, David T. Cooke, Lisa M. Brown

Research output: Contribution to journalReview article

Abstract

Prolonged air leak or alveolar-pleural fistula is common after lung resection and can usually be managed with continued pleural drainage until resolution. Further management options include blood patch administration, chemical pleurodesis, and 1-way endobronchial valve placement. Bronchopleural fistula is rare but is associated with high mortality, often caused by development of concomitant empyema. Bronchopleural fistula should be confirmed with bronchoscopy, which may allow bronchoscopic intervention; however, transthoracic stump revision or window thoracostomy may be required.

Original languageEnglish (US)
Pages (from-to)347-358
Number of pages12
JournalThoracic surgery clinics
Volume30
Issue number3
DOIs
StatePublished - Aug 1 2020

Keywords

  • Air leak
  • Bronchopleural fistula
  • Perioperative management
  • Thoracic surgery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine

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