Use of a Modified Dumon Stent for Postoperative Bronchopleural Fistula

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Use of a Modified Dumon Stent for Postoperative Bronchopleural Fistula Hisashi Tsukada, MD, Hiroaki Osada, MD The Annals of Thoracic Surgery Volume 80, Issue 5, Pages 1928-1930 (November 2005) DOI: 10.1016/j.athoracsur.2004.06.035 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Chest roentgenogram revealed a chest tube in the right thoracic cavity and intubated tube placed in the left main bronchus. (B) Bronchoscopic view revealed a large bronchopleural fistula and necrotic tissue at the right main bronchial stump. The Annals of Thoracic Surgery 2005 80, 1928-1930DOI: (10.1016/j.athoracsur.2004.06.035) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The length of the right arm and the diameter of each part of the stent were calculated by the computed tomographic image. (B) Specially ordered modified Dumon stent. The right arm of the Y was shortened and the open end of the right arm sealed tight with silicon material from which the stent is fabricated. The Annals of Thoracic Surgery 2005 80, 1928-1930DOI: (10.1016/j.athoracsur.2004.06.035) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) The residual empyema cavity was decreased by the thickness of peel and the modified Dumon Y stent is placed in the tracheal tree just before removal. (B) View after removing stent. Bronchial stump is restored after treatment with a modified Dumon stent. The Annals of Thoracic Surgery 2005 80, 1928-1930DOI: (10.1016/j.athoracsur.2004.06.035) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions