Case Report Open Access

Treatment for a Bronchial Fistula at the Bronchial Membrane with Extensive Postoperative Ischemic Bronchitis: Combination of a Free Pericardial Fat Pad and Muscle Flaps

Abstract

Postoperative ischemic bronchitis can cause a bronchial fistula, which can sometimes be fatal. We report the case of a 79-year-old man who developed a bronchial fistula at the bronchial membrane with extensive postoperative ischemic bronchitis after right lower lobectomy for lung cancer. He was cured by the combination method, reinforcing the bronchial membrane with muscle flaps and closing the fistula with a free pericardial fat pad. The combination treatment of a free pericardial fat pad and muscle flaps can be considered as a therapeutic strategy for a bronchial fistula at the bronchial membrane with extensive postoperative ischemic bronchitis.

Masayuki Hashimoto1*, Makoto Yoden1, Keiko Takeda1, Ryosuke Kaku1, Mayumi Oshio2, Satoru Sawai1

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