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Closure of postpneumonectomy bronchopleural fistula by means of single, perforator-based, latissimus dorsi muscle flap.

Bronchopleural fistula (BPF) is one of the most serious complications after pulmonary resection, with an incidence of 1.2% after lobectomy and between 2% and 20% after pneumonectomy.1 The reported mortality rate can be as high as 71% despite aggressive treatment.1 The diversity of treatment modalities indicates that no single regimen satisfies all conditions, and treatment options have to be individualized. We successfully treated an elderly man who had postpneumonectomy empyema and BPF by the use of a perforator-based distal latissimus dorsi (LD) muscle flap.