{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:13:36Z","timestamp":1787238816083,"version":"build-2736575974"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Post-pneumonectomy bronchopleural fistula (BPF) is a life-threatening event whose treatment is not standardized.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n We report the management of a 28-year-old patient with a 3-year history of BPF complicating right pneumonectomy for congenital emphysema. Despite closure by an Amplatzer device, the patient had chronic pyothorax and severely deteriorated general health and quality of life. An attempt at Amplatzer device removal through an open window thoracostomy failed. A median sternotomy was performed, the carina was resected, and the left main bronchus was anastomosed to the trachea. The thoracostomy was closed using fasciocutaneous pedicled flaps. At 9\u00a0months, the patient was doing well.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The utilisation of an Amplatzer device to close a broncho-pleural fistula can have adverse effects and potentially result in fatal sepsis in those cases where it is unsuccessful. The endoscopic treatment of BPF should be reserved for expert centers, considering the location, size, and stability of the fistula when choosing the treatment strategy. The surgical management of failed Amplatzer closure may be extremely complex, requiring a highly experienced team.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s13019-024-03285-7","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T07:47:25Z","timestamp":1737013645000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgery for chronic pyothorax after failed amplatzer closure of bronchopleural fistula"],"prefix":"10.1186","volume":"20","author":[{"given":"Yohann","family":"Vincent","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Lenzini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Hanna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Leymarie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Le Picault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Fadel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"issue":"2","key":"3285_CR1","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/j.athoracsur.2011.03.047","volume":"92","author":"E Passera","year":"2011","unstructured":"Passera E, Guanella G, Meroni A, Chiesa G, Rizzi A, Rocco G. Amplatzer device and vacuum-assisted closure therapy to treat a thoracic empyema with bronchopleural fistula. Ann Thorac Surg. 2011;92(2):e23\u20135.","journal-title":"Ann Thorac Surg"},{"issue":"11","key":"3285_CR2","volume":"15","author":"V Leivaditis","year":"2023","unstructured":"Leivaditis V, Braun-Lambur H, Windm\u00fcller V, et al. Bronchopleural fistula management with an amplatzer duct occluder: a comprehensive case report and literature review. Cureus. 2023;15(11): e49431.","journal-title":"Cureus"},{"key":"3285_CR3","doi-asserted-by":"crossref","unstructured":"Motus IY, Bazhenov AV, Basyrov RT, Tsvirenko AS. Endoscopic closure of a bronchopleural fistula after pneumonectomy with the Amplatzer occluder: a step forward? Interactive CardioVascular and Thoracic Surgery 2019; ivz241.","DOI":"10.1093\/icvts\/ivz241"},{"issue":"3","key":"3285_CR4","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1159\/000357074","volume":"87","author":"O Fruchter","year":"2014","unstructured":"Fruchter O, El Raouf BA, Abdel-Rahman N, Saute M, Bruckheimer E, Kramer MR. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up. Respiration. 2014;87(3):227\u201333.","journal-title":"Respiration"},{"issue":"1","key":"3285_CR5","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.athoracsur.2015.06.026","volume":"101","author":"A Pforr","year":"2016","unstructured":"Pforr A, Pag\u00e8s P-B, Baste J-M, et al. A predictive score for bronchopleural fistula established using the french database epithor. Ann Thorac Surg. 2016;101(1):287\u201393.","journal-title":"Ann Thorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-03285-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-03285-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-03285-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T07:47:27Z","timestamp":1737013647000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-03285-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,16]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3285"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-03285-7","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,16]]},"assertion":[{"value":"9 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2025","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 authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The study was conducted in accordance with the Declaration of Helsinki (as revised in 2013). Because this is an observational work, institutional review board approval was not necessary. Written patient consent for this retrospective analysis was obtained to include their information in this publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written patient consent for this retrospective analysis was obtained to include their information in this publication.","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":"67"}}