Bronchopleural Fistula Treated With a Silicone-Covered Bronchial Occlusion Stent Eun Young Chae, MD, Ji Hoon Shin, MD, Ho-Young Song, MD, Jin-Hyoung Kim,

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Bronchopleural Fistula Treated With a Silicone-Covered Bronchial Occlusion Stent Eun Young Chae, MD, Ji Hoon Shin, MD, Ho-Young Song, MD, Jin-Hyoung Kim, MD, Tae Sun Shim, MD, Dong Kwan Kim, MD The Annals of Thoracic Surgery Volume 89, Issue 1, Pages 293-296 (January 2010) DOI: 10.1016/j.athoracsur.2009.05.068 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest roentgenogram and bronchoscopic image before placement of a bronchial occlusion stent. (A) Chest roentgenogram showed a drop of the pleural fluid level within the pneumonectomy space and patchy consolidation in the right upper lobe. (B) Bronchoscopy revealed two mucosal defects in the left main bronchial stump. The Annals of Thoracic Surgery 2010 89, 293-296DOI: (10.1016/j.athoracsur.2009.05.068) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A specially designed silicone-covered bronchial occlusion stent of wine-glass configuration. The distal third was constricted (arrow) to fit the fistulous tract of a bronchopleural fistula. The Annals of Thoracic Surgery 2010 89, 293-296DOI: (10.1016/j.athoracsur.2009.05.068) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Peroral placement of the bronchial occlusion stent. (A, B) The bronchial occlusion stent (arrow) was deployed in the remnant left main bronchus by pulling back the introducer sheath (arrowhead). (C) Bronchoscopy immediately after the procedure confirmed that the orifice of the fistula had completely closed. The Annals of Thoracic Surgery 2010 89, 293-296DOI: (10.1016/j.athoracsur.2009.05.068) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Follow-up computed tomographic scan and roentgenogram. (A) The 1-year follow-up computed tomographic scan showed complete embedding of the distal portion of the stent within the soft tissue. The chest tube was then removed. (B) A chest roentgenogram obtained 3 months later showed nearly a complete obliteration of the pneumonectomy space. The Annals of Thoracic Surgery 2010 89, 293-296DOI: (10.1016/j.athoracsur.2009.05.068) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions