Risk Factors

Many putative risk factors for postpneumonectomy bronchopleural fistula exist and seem to be evident (Table 43-2). Right pneumonectomy is thought to be a risk factor since the right bronchus projects uncovered into the hemithorax after pneumonectomy, whereas the left bronchus retreats deeper into the mediastinum under the aortic arch. Radiation given long before surgery seems to be more of a risk factor than radiation given immediately preoperatively. Radiation doses exceeding 50 Gy are associated with higher

Table 43-1 Bronchopleural Fistula after Pneumonectomy
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