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Closure of a bronchopleural fistula using a fibrin–glue coated collagen patch

Department of Surgery, Teikyo School of Medicine, 2-11 Kaga 2-Chome, Itabashi-Ku, Tokyo 173, Japan

^* Tel.: +81-3-3964-1211; fax: +81-3-3962-2128
takanami{at}med.teikyo-u.ac.jp

Bronchopleural fistulas can occur as a life-threatening sequelae after pulmonary resection. Two bronchopleural fistulas more than 3 mm in diameter were successfully treated by using a fibrin–glue coated collagen patch at the site of bronchopleural fistula under flexible bronchoscopic observation. This is the first report of the bronchoscopic closure of bronchopleural fistulas by using a fibrin–glue coated collagen patch. This treatment would be recommended for patients with a postoperative bronchopleural fistula with an orifice that is more than 3 mm in diameter.

Key Words: Bronchopleural fistula; Fibrin–glue coated collagen patch; Flexible bronchofiberscope; TachoComb

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