Novel Treatment of a Persistent Bronchopleural Fistula Using a Customized Spigot

An abnormal communication between the bronchus and the pleural cavity is known as a bronchopleural fistula (BPF). The incidence of postoperative BPF ranges from 1.5% to 28%, and is responsible for considerable morbidity and mortality. Various modalities have been used for treatment of BPF including surgery and endobronchial occlusion devices. The scope of therapy is limited in developing countries because of cost constraints and lack of availability of different occlusion devices. A novel method of BPF closure using a customized spigot and cyanoacrylate glue is described.