What is Bronchopleural fistula?
What is Bronchopleural fistula?
DEFINITION. Bronchopleural fistula refers to fistula between major, lobar, or segmental bronchus and the pleural space. Alveolar pleural fistula (APF) is a communication between the lung parenchyma (distal to the level of the subsegmental bronchus) and the pleural space.
How do you fix Bronchopleural fistula?
Direct surgical repair of chronic bronchopleural fistula may be achieved in most patients after adequate pleural drainage by suture closure and aggressive transposition of vascularized pedicle flaps. Omentum is particularly effective in buttressing the closure of bronchopleural fistulas.
What is a fistula in the lung?
Pulmonary arteriovenous fistula is an abnormal connection between an artery and vein in the lungs. As a result, blood passes through the lungs without receiving enough oxygen.
What is a possible reason for the development of Bronchopleural fistula?
Bronchopleural fistula is a persistent communication between the bronchi and pleural space for at least 10 days. It can be caused by blunt or penetrating trauma, blast injury, or barotrauma and usually persists because of an acute or chronic underlying lung disease.
How can you tell if you have A bronchopleural fistula?
A CT scan is often the test of choice for diagnosing the condition and may show increased air or fluid (often pus or an empyema) in the pleural space. A bronchopleural fistula is usually suspected clinically by noting a persistent air leak.
Can a rib resection cure A bronchopleural fistula?
It is applicable both in empyema that occurred after pneumonectomy or that developed in a residual pleural space, regardless of the size of the bronchopleural fistula. In these therapy-resistant cases, addition of a simple rib resection rarely cures the empyema.
Can A bronchopleural fistula be closed after a pneumonectomy?
It does not need to be restricted to post-pneumonectomy cases. Operative closure of bronchopleural fistulae, a major surgical undertaking with an uncertain outcome, is usually unnecessary. Treatment with antibiotics and tube drainage is adequate for the majority of patients with empyema.
What causes a fistula on the pleural border?
Chemotherapy or radiation therapy for lung cancer: Any treatment which causes damage to cells and subsequent healing in the region of the pleural border may result in the formation of a fistula. How Common Is It?
