Bronchial obstruction due to Teflon pledgets migration 13 years after lobectomy. The Annals of thoracic surgery [Ann Thorac Surg] Journal article

Title	Bronchial obstruction due to Teflon pledgets migration 13 years after lobectomy.
Author(s)	Precht LM, Vallières E
Institution	Section of Thoracic Surgery, Surgical Services, Swedish Cancer Institute, Seattle, Washington, USA.
Source	Ann Thorac Surg 2008 Jun; 85(6):2116-8.
MeSH	Aged Bronchi Bronchial Diseases Bronchoscopy Carcinoma, Squamous Cell Diagnosis, Differential Fluorodeoxyglucose F18 Foreign-Body Migration Humans Lung Neoplasms Male Pneumonectomy Polytetrafluoroethylene Positron-Emission Tomography Postoperative Complications Stents Sutures Tomography, X-Ray Computed
Abstract	Bronchopleural fistula is a major cause of morbidity and mortality after pulmonary resection. Different techniques of reinforcing the bronchial stump to prevent this complication have been described. Pledgeted sutures have been suggested for this purpose but have the potential to erode into the bronchus years after resection. We report an unusual case of airway obstruction 13 years after lung resection where pledgeted sutures had been used to reinforce a lobectomy stump. Bronchoscopic management of this rare complication consisted of endobronchial débridement and placement of a silicon stent to allow remodeling of the stenotic airway.
Language	eng
Pub Type(s)	Case Reports Journal Article
PubMed ID	18498836

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