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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Teflon haemoptysis
  1. Matthew Aboudara1,
  2. William Krimsky2,
  3. Daniel Harley3
  1. 1Pulmonary Service Department, Walter Reed National Military Medical Center – Bethesda, Bethesda, Maryland, USA
  2. 2Interventional Pulmonology Department, Franklin Square Hospital Center, Baltimore, Maryland, USA
  3. 3Thoracic Surgery Department, Franklin Square Hosptial Center, Baltimore, Maryland, USA
  1. Correspondence to Dr Matthew Aboudara, maboudara23{at}gmail.com

Summary

Teflon-coated pledgeted sutures can be used to reinforce the bronchial anastomosis site following a pulmonary resection in order to prevent bronchopleural fistula formation. The authors describe the case of a 42-year-old woman with recurrent haemoptysis secondary to the erosion of a pledgeted suture through the distal trachea. The pledgeted suture was used to reinforce a defect in the wall of the distal trachea after a right upper lobectomy for stage 2a squamous cell carcinoma. Surgically, a completion pneumonectomy with carinal reconstruction was thought necessary to treat the haemoptysis. Given her age and potential surgical morbidities, the decision was made to perform serial bronchoscopies with careful pruning and eventual removal of the pledget by using the cryoprobe and a flexible scissors. This resulted in the eventual removal of the suture. Follow-up bronchoscopy 4 weeks postremoval demonstrated no residual defect on the airway wall.

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Footnotes

  • Competing interests The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Department of the Army nor the US Government.

  • Patient consent Obtained.

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