Intrapleural Urokinase and Antibiotic Therapy for Empyema after In Situ Reconstruction of the Aorta and Lobectomy for Aortopulmonary Fistula due to Thoracic Aortic Aneurysm Rupture
- VernacularTitle:胸部大動脈瘤肺内穿破に対するin-situ reconstructionと肺葉切除後膿胸にUrokinaseおよび抗生剤胸腔内注入が有効であった1例
- Author:
Ryosuke NAWATA
1
;
Ryo SUZUKI
1
;
Toshiki YOKOYAMA
1
;
Sarii TSUBONE
1
;
Yutaro MATSUNO
1
;
Hiroshi KURAZUMI
1
;
Bungo SHIRASAWA
1
;
Akihito MIKAMO
1
;
Kimikazu HAMANO
1
Author Information
- Keywords: empyema; urokinase; intrapleural antibiotics; thoracic aortic aneurysm
- From:Japanese Journal of Cardiovascular Surgery 2023;52(2):118-122
- CountryJapan
- Language:Japanese
- Abstract: A 62-year-old man presented with hemoptysis and hoarseness. He was diagnosed with an aortopulmonary fistula due to a thoracic aortic aneurysm rupture and was referred to our department. Emergency in-situ reconstruction of the aorta and pulmonary lobectomy were performed. Nine days postoperative, he developed empyema. Intrapleural urokinase and antibiotic therapy were selected as management instead of a video-assisted thoracoscopic debridement and decortication due to his worsening condition. The treatment was successful, and he was discharged from the hospital without any further complications. This study highlights the benefit of intrapleural administration of urokinase and antibiotics in patients with acute empyema, when surgical treatment is inappropriate.
