Intraoperative use of a polymer mesh implant in common destructive pulmonary tuberculosis complicated by empyema with bronchopleural fistula

Abstract

The article observes a clinical case – intraoperative use of anterior mediastinal plastic surgery with a mesh implant for transsternal occlusion of the main bronchus in a patient with widespread destructive pulmonary tuberculosis complicated by pleuralempyema with bronchopleural fistula. A control examination after 1.5 years showed a clinical cure of tuberculosis of a single lung. When comparing functional indicators, there was a slight increase in vital capacity (VC) and forced expiratory volume in the first second (FEV1). There were no changes in the indicators of pO2, pCO2. Also, unchanged left ventricular ejection fraction and a substantial decrease in pulmonary artery pressure positively affected the patient's general condition.

Keywords

• staged surgical treatment
• fibrous-cavernous tuberculosis
• mediastinal pulmonary hernia
• transsternal occlusion of the main bronchus
• plasty of the anterior mediastinum with a mesh implant