Treatment of AIDS-related bronchopleural fistula by pleurectomy

摘要: Spontaneous pneumothorax in patients with acquired immunodeficiency syndrome (AIDS) may require prolonged therapy for treatment of a persistent bronchopleural fistula, and by standard methods often fails. This pilot study was done to test the effectiveness aggressive surgical definitive fistula AIDS. Between March 1989 September 1991, 44 AIDS were treated spontaneous closed tube thoracostomy; 14 these had development more than 10 days, 2 subsequent on opposite side. Operative included 15 thoracotomies one sternotomy. The directly suture or staples procedures resected lobectomy 1 patient. All received adjuvant parietal pleurectomy. mortality 7% (1 patients). all survivors 13 discharged between 7 28 days postoperatively. Pathologic examination confirmed Pneumocystis carinii high incidence diffuse involvement subpleural necrosis, further demonstrating need These data suggest that selected fistulas associated can be effectively controlled closure combined