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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2019; 08(01): e11-e13
DOI: 10.1055/s-0039-1688476
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Bronchial Fistula and Pneumomediastinum after EBUS-TBNA Following Mediastinoscopy

Ioannis Bougioukas
1   Department of Cardiothoracic Surgery, SHG-Kliniken Volklingen, Voelklingen, Germany
,
Ralf Seipelt
1   Department of Cardiothoracic Surgery, SHG-Kliniken Volklingen, Voelklingen, Germany
,
Hanno Huwer
1   Department of Cardiothoracic Surgery, SHG-Kliniken Volklingen, Voelklingen, Germany
› Author Affiliations
Further Information

Publication History

09 December 2018

13 March 2019

Publication Date:
06 May 2019 (online)

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Abstract

Background Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a very useful diagnostic tool for the assessment of enlarged mediastinal and hilar lymph nodes. It is a safe procedure with a low risk of complications.

Case Description We report a case of bronchial fistula and pneumomediastinum after EBUS-TBNA, which was performed shortly after a mediastinoscopy. Due to the extent of the bronchial lesion, a surgical closure of the bronchial fistula was necessary. The patient recovered completely.

Conclusion The performance of EBUS-TBNA shortly after a mediastinoscopy should not be recommended to avoid possible procedure-related complications.

Keywords

mediastinum (incl. mediastinoscopy) - thoracic surgery - mediastinal lymph nodes - ultrasound (all applications)
 

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