Extracorporeal membrane oxygenator as a bridge to successful surgical repair of bronchopleural fistula following bilateral sequential lung transplantation: A case report and review of literature

Nouman U. Khan, Mohamed Al-Aloul, Noman Khasati, Ali Machaal, Colm T. Leonard, Nizar Yonan

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: Lung transplantation (LTx) is widely accepted as a therapeutic option for end-stage respiratory failure in cystic fibrosis. However, airway complications remain a major cause of morbidity and mortality in these patients, serious airway complications like bronchopleural fistula (BPF) are rare, and their management is very difficult. Case presentation: A 47-year-old man with end-stage respiratory failure due to cystic fibrosis underwent bilateral sequential lung transplantation. Severe post-operative bleeding occurred due to dense intrapleural adhesions of the native lungs. He was re-explored and packed leading to satisfactory haemostasis. He developed a bronchopleural fistula on the 14th post-operative day. The fistula was successfully repaired using pericardial and intercostal vascular flaps with veno-venous extracorporeal membrane oxygenator (VV-ECMO) support. Subsequently his recovery was uneventful. Conclusion: The combination of pedicled intercostal and pericardial flaps provide adequate vascular tissue for sealing a large BPF following LTx. Veno-venous ECMO allows a feasible bridge to recovery. © 2007 Khan et al; licensee BioMed Central Ltd.
    Original languageEnglish
    Article number28
    JournalJournal of Cardiothoracic Surgery
    Volume2
    Issue number1
    DOIs
    Publication statusPublished - 5 Jun 2007

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