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Thorac Cardiovasc Surg 2016; 64(06): 540-542
DOI: 10.1055/s-0035-1549358
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Georg Thieme Verlag KG Stuttgart · New York

Amplatzer Device in Bronchial Stump Fistula after Extrapleural Pneumonectomy

Johanna Turtiainen
1   Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland
,
Jari V. Räsänen
1   Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland
,
Seppo Hiippala
2   Department of Anesthesiology, Helsinki University Central Hospital, Helsinki, Finland
,
Erkki Tukiainen
3   Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland
,
Jarmo A. Salo
1   Department of General Thoracic and Esophageal Surgery, Helsinki University Central Hospital, Heart and Lung Center, Helsinki, Finland
› Author Affiliations
Further Information

Publication History

02 December 2014

18 February 2015

Publication Date:
18 May 2015 (online)

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Abstract

Endoscopically superimposed Amplatzer (St. Jude Medical, St. Paul, Minnesota, United States) septal occluder plug was successfully used in the treatment of septic right main bronchus fistula having developed after extrapleural pneumonectomy and heated chemotherapy in two patients with malignant pleural mesothelioma. In the first case the method was curative and in the other Amplatzer served as temporary bridging allowing rehabilitation from empyema and sepsis. After 4.5 and 4.2 years both patients are alive with no sign of relapse of mesothelioma or infection.

Keywords

malignant pleural mesothelioma - extrapleural pneumonectomy - heated chemotherapy - bronchial stump fistula - Amplatzer device
 

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