Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report
Abstract Background The treatment of persistent air leak is a challenge. Herein, we reported the combined intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy to seal off an alveolar pleura fistula developed following necrotizing pneumonia in high-risk patient. Case pres...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-019-0987-7 |
| _version_ | 1828941950512791552 |
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| author | Alfonso Fiorelli Italia Odierna Daniele Scarano Francesco Caronia Andrea Failla Mario Iannotti Mario Santini Caterina Pace |
| author_facet | Alfonso Fiorelli Italia Odierna Daniele Scarano Francesco Caronia Andrea Failla Mario Iannotti Mario Santini Caterina Pace |
| author_sort | Alfonso Fiorelli |
| collection | DOAJ |
| description | Abstract Background The treatment of persistent air leak is a challenge. Herein, we reported the combined intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy to seal off an alveolar pleura fistula developed following necrotizing pneumonia in high-risk patient. Case presentation A 74-year-old man was intubated in emergency for acute ischemic stroke. Percutaneous dilatational tracheostomy was then performed, and 15 days later patient returned to spontaneous breathing. However, he developed alveolar pleural fistula following necrotizing pneumonia with persistent air leaks. The intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy sealed off the alveolar pleura fistula after that other endoscopic treatments as bronchial valve and intrabronchial fibrin glue application had failed. Conclusions Our strategy is safe and easy to reproduce. It represents an additional method in the armamentarium of the physicians for the management of PAL when all standard strategies are unfeasible or fail. |
| first_indexed | 2024-12-14T03:45:57Z |
| format | Article |
| id | doaj.art-1ca6cc83749f4b039775dd1f99c13fc1 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-14T03:45:57Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-1ca6cc83749f4b039775dd1f99c13fc12022-12-21T23:18:21ZengBMCJournal of Cardiothoracic Surgery1749-80902019-09-011411410.1186/s13019-019-0987-7Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case reportAlfonso Fiorelli0Italia Odierna1Daniele Scarano2Francesco Caronia3Andrea Failla4Mario Iannotti5Mario Santini6Caterina Pace7Thoracic Surgery Unit, Università della Campania Luigi VanvitelliAnaesthesiology and Intensive Care Unit, Umberto I HospitalAnaesthesiology and Intensive Care Unit, Umberto I HospitalThoracic Surgery UnitGeneral Surgery Unit, Istituto Oncologico MediterraneoAnaesthesiology and Intensive Care Unit, Umberto I HospitalThoracic Surgery Unit, Università della Campania Luigi VanvitelliAnaesthesiology and Intensive Care Unit, Università della Campania Luigi VanvitelliAbstract Background The treatment of persistent air leak is a challenge. Herein, we reported the combined intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy to seal off an alveolar pleura fistula developed following necrotizing pneumonia in high-risk patient. Case presentation A 74-year-old man was intubated in emergency for acute ischemic stroke. Percutaneous dilatational tracheostomy was then performed, and 15 days later patient returned to spontaneous breathing. However, he developed alveolar pleural fistula following necrotizing pneumonia with persistent air leaks. The intrabronchial and intrapleural injection of fibrin glue using fiber bronchoscopy sealed off the alveolar pleura fistula after that other endoscopic treatments as bronchial valve and intrabronchial fibrin glue application had failed. Conclusions Our strategy is safe and easy to reproduce. It represents an additional method in the armamentarium of the physicians for the management of PAL when all standard strategies are unfeasible or fail.http://link.springer.com/article/10.1186/s13019-019-0987-7Persistent air leaksAlveolar pleural fistulaFibrin glueCase report |
| spellingShingle | Alfonso Fiorelli Italia Odierna Daniele Scarano Francesco Caronia Andrea Failla Mario Iannotti Mario Santini Caterina Pace Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report Journal of Cardiothoracic Surgery Persistent air leaks Alveolar pleural fistula Fibrin glue Case report |
| title | Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report |
| title_full | Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report |
| title_fullStr | Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report |
| title_full_unstemmed | Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report |
| title_short | Combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula: a case report |
| title_sort | combined intrapleural and intrabronchial injection of fibrin glue for closing alveolar pleural fistula a case report |
| topic | Persistent air leaks Alveolar pleural fistula Fibrin glue Case report |
| url | http://link.springer.com/article/10.1186/s13019-019-0987-7 |
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