Open AccessTransanastomotic Endobronchial Migration of a Pericardial Flap
Author(s) -
Francesco Petrella,
Sergio Cavaliere,
Pierfranco Foccoli,
Michela Bezzi,
Carlo Toninelli,
Juliana Guarize,
Lorenzo Spaggiari
Publication year - 2009
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.648
H-Index - 33
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0b013e3181bed9c7
Subject(s) - medicine , anastomosis , dehiscence , surgery , bronchus , stenosis , left main bronchus , bronchoscopy , tracheal stenosis , fibrin glue , radiology , lung , respiratory disease
A 36-year-old woman underwent left main bronchus sleeve resection for a typical carcinoid. The bronchial anastomosis was reinforced with a bovine pericardial flap fixed by fibrin glue. Six months after the surgery the patient presented with acute dyspnea. Flexible bronchoscopy disclosed an endoluminal migration of the pericardial flap through the anastomotic dehiscence and a cicatricial stenosis of the left upper bronchus. The migrated flap was successfully removed and the stenosis segment of the bronchus was dilated using a rigid bronchoscope. Two months after complete recovery from the bronchial dehiscence, the patient developed an anastomotic cicatricial stenosis, which was effectively treated by laser photoresection and mechanical dilatation. Eight months after the last procedure the patient remains symptom free.