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Interact Cardiovasc Thorac Surg. 2013 Apr;16(4):538-40. doi: 10.1093/icvts/ivs530. Epub 2012 Dec 21.

Attempted closure of a post-pneumonectomy oesophagopleural fistula with an Amplatzer atrial septal occluder.

Author information

1
Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK. kadlecjakub@yahoo.com

Abstract

Oesophagopleural fistula is a recognized complication of pneumonectomy. Surgical repair with direct closure and reinforcement with omentum, muscle or pleural flap is the mainstay of definitive treatment. However, this option might not be suitable for all patients. The authors report on the case of a 63-year old female refusing surgical repair of an oesophagopleural fistula after left pneumonectomy. A novel approach (using an Amplatzer atrial septal occluder device) for fistula closure was attempted. Despite a promising initial result, the procedure failed. This is the first report on the use of a septal occluder to try and close an oesophagopleural fistula.

PMID:
23264469
PMCID:
PMC3598034
DOI:
10.1093/icvts/ivs530
[Indexed for MEDLINE]
Free PMC Article
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