1991 Volume 13 Issue 2 Pages 209-213
A 73-year-old man was admitted with dyspnea. His right lung was completely collapsed on the chest X-ray examination. Immediately thoracic cavity drainage was begun, but air leakage did not improve for more than one month. Since he refused thoracotomy, bronchial obstruction was performed by bronchofiberscope on the 40th hospital day. A fogarty balloon catheter was used to close the bronchopleural fistula, followed by filling the fistula with fibrin glue according to the technique of Muramatsu. The first attempt of bronchial obstruction was not successful. Coagulation factor XIII (total 1, 500×) was given intravenously but small air leakage was also continued. On the 54th hospital day a second attempt of bronchial obstruction was performed using his blood as the bronchial filler. Immediately after the second attempt, the air leakage stopped completely and the thoracic cavity drainage was withdrawn on the 64th hospital day. No complications were noticed.
