CC BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 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)

  

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.