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Ann Thorac Surg. 2011 Aug;92(2):e23-5. doi: 10.1016/j.athoracsur.2011.03.047.

Amplatzer device and vacuum-assisted closure therapy to treat a thoracic empyema with bronchopleural fistula.

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Department of Thoracic Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.


We present a case of lower bilobectomy complicated by a large bronchopleural fistula and empyema 1 month after primary surgery. The patient was immediately treated with an open window thoracostomy. After surgical debridement, an Amplatzer Septal Occluder device (AGA Medical Corp, Plymouth, MN) was positioned to close the fistula. Thereafter, the thoracostomy rapidly and spontaneously closed with vacuum-assisted closure therapy.

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