When less is more: a daring conservative approach to postpneumonectomy oesophago-pleural fistula

Research output: Contribution to journalArticle


Oesophago-pleural fistula is an uncommon complication after pneumonectomy, usually related to high morbidity and mortality. Due to its rarity and heterogeneous clinical presentation, its diagnosis and management are challenging issues. Here, we report the case of a patient with a history of pneumonectomy for a tracheal tumour, who developed an asymptomatic oesophago-pleural fistula 7 years after primary surgery. In consideration of the patient's good clinical status and after verifying the preservation of respiratory and digestive functions, a bold conservative approach was adopted. Five-year follow-up computed tomography did not disclose any sign of recurrence of disease and showed a stable, chronic fistula.

Original languageEnglish
Pages (from-to)146-148
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Issue number1
Publication statusPublished - Jan 1 2020



  • Conservative approach
  • Oesophago-pleural fistula

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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