Radical elimination of complications following staged complex surgical treatment of pulmonary tuberculosis

Objective. To analyze surgical management of tuberculosis and main bronchus stump fistula after failed surgical treatment and vascular occluders. Material and methods. Two cases are presented. The study included patients with Amplatzer ASD occluders placed for bronchopleural complications after pneumonectomy. Transsternal occlusion of the main bronchus was performed for surgical correction of complications. Results. The authors demonstrate effective staged surgical treatment of the main bronchial stump fistula after failed surgical management with vascular occluder. Conclusion. Surgical treatment after failed closure of the main bronchial stump fistula with vascular occluders under persistent infection and empyema is an extremely complex staged approach. This management should consider all previous surgeries and endoscopic interventions, can last for several years and requires a highly qualified team of thoracic surgeons.