{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:25:26Z","timestamp":1770229526069,"version":"3.49.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"the General Project of Zhongshan Science and Technology Department","award":["K2020B1041"],"award-info":[{"award-number":["K2020B1041"]}]},{"name":"the General Project of Zhongshan Science and Technology Department","award":["K2020B1041"],"award-info":[{"award-number":["K2020B1041"]}]},{"name":"the General Project of Zhongshan Science and Technology Department","award":["K2020B1041"],"award-info":[{"award-number":["K2020B1041"]}]},{"name":"the General Project of Zhongshan Science and Technology Department","award":["K2020B1041"],"award-info":[{"award-number":["K2020B1041"]}]},{"name":"the General Project of Zhongshan Science and Technology Department","award":["K2020B1041"],"award-info":[{"award-number":["K2020B1041"]}]},{"name":"the General Project of Zhongshan Science and Technology Department","award":["K2020B1041"],"award-info":[{"award-number":["K2020B1041"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Bronchopleural fistula (BPF) is a rare but fatal complication after pneumonectomy. When a BPF occurs late (weeks to years postoperatively), direct resealing of the bronchial stump through the primary thoracic approach is challenging due to the risks of fibrothorax and injury to the pulmonary artery stump, and the surgical outcome is generally poor. Here, we report a case of late left BPF following left pneumonectomy successfully treated using a right thoracic approach assisted by extracorporeal membrane oxygenation (ECMO).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report the case of a 57-year-old male patient who underwent left lower and left upper lobectomy, respectively, for heterochronic double primary lung cancer. A left BPF was diagnosed at the 22nd month postoperatively, and conservative treatment was ineffective. Finally, the left BPF was cured by minimally invasive BPF closure surgery via the right thoracic approach with the support of veno-venous extracorporeal membrane oxygenation (VV-ECMO).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Advanced BPF following left pneumonectomy can be achieved with an individualized treatment plan, and the right thoracic approach assisted by ECMO is a relatively simple and effective method, which could be considered as an additional treatment option for similar patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02805-9","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T10:03:43Z","timestamp":1717149823000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Treatment of late left bronchopleural fistula after left pneumonectomy through right thoracic approach assisted by extracorporeal membrane oxygenation"],"prefix":"10.1186","volume":"19","author":[{"given":"Wenhao","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kejun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaozu","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binfei","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Liang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weizhao","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"2805_CR1","doi-asserted-by":"publisher","first-page":"1833","DOI":"10.1016\/j.athoracsur.2011.07.004","volume":"92","author":"I Hysi","year":"2011","unstructured":"Hysi I, Rousse N, Claret A, et al. Open window thoracostomy and thoracoplasty to manage 90 postpneumonectomy empyemas. Ann Thorac Surg. 2011;92:1833\u20139.","journal-title":"Ann Thorac Surg"},{"key":"2805_CR2","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/S1010-7940(02)00222-1","volume":"22","author":"R Bazzocchi","year":"2002","unstructured":"Bazzocchi R, Bini A, Grazia M, Petrella F. Bronchopleural fistula prevention after major pulmonary resection for primary lung cancer. Eur J Cardiothorac Surg. 2002;22:160.","journal-title":"Eur J Cardiothorac Surg"},{"key":"2805_CR3","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1016\/S0003-4975(97)00409-8","volume":"63","author":"PH Hollaus","year":"1997","unstructured":"Hollaus PH, Lax F, el-Nashef BB, Hauck HH, Lucciarini P, Pridun NS. Natural history of bronchopleural fistula after pneumonectomy: a review of 96 cases. 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Ann Thorac Surg. 2000;69(2):394\u20137.","journal-title":"Ann Thorac Surg"},{"key":"2805_CR6","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/0003-4975(89)90276-2","volume":"47","author":"RJ Ginsberg","year":"1989","unstructured":"Ginsberg RJ, Pearson FG, Cooper JD, et al. Closure of chronic postpneumonectomy bronchopleural fistula using the transsternal transpericardial approach. Ann Thorac Surg. 1989;47:231\u20135.","journal-title":"Ann Thorac Surg"},{"key":"2805_CR7","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1177\/0310057X0903700110","volume":"37","author":"K Jeon","year":"2009","unstructured":"Jeon K, Yoon JW, Suh GY, et al. Risk factors for post-pneumonectomy acute lung injury\/acute respiratory distress syndrome in primary lung cancer patients. Anaesth Intensive Care. 2009;37:14\u20139.","journal-title":"Anaesth Intensive Care"},{"key":"2805_CR8","doi-asserted-by":"publisher","first-page":"1558","DOI":"10.1213\/01.ANE.0000087799.85495.8A","volume":"97","author":"M Licker","year":"2003","unstructured":"Licker M, de Perrot M, Spiliopoulos A, et al. Risk factors for acute lung injury after thoracic surgery for lung cancer. Anesth Analg. 2003;97:1558\u201365.","journal-title":"Anesth Analg"},{"issue":"3","key":"2805_CR9","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1378\/chest.14-2202","volume":"147","author":"AI Musani","year":"2015","unstructured":"Musani AI, Dutau H. Management of alveolar-pleural Fistula A Complex Medical and Surgical Problem. Chest. 2015;147(3):590\u20132.","journal-title":"Chest"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02805-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02805-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02805-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T10:09:11Z","timestamp":1717150151000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02805-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,31]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2805"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02805-9","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,31]]},"assertion":[{"value":"24 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Institutional Review Board and the Ethics Committee of the Zhongshan City People\u2019s Hospital and written informed consent was obtained from all patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patients for publication of this article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"308"}}