CTICasesBronchopleural Anastomotic Fistula
Imaging findings
Chest CT post-double lung transplant shows persistent bilateral pneumothoraces and a focal anastomotic gap at the right bronchus intermedius suture line. This gap communicates with the bilateral pleural spaces, the anterior pericardium, and the chest wall (clamshell incision tract). Bronchoscopy confirmed the anastomotic defect.
Key takeaways
Bronchial anastomotic dehiscence is a critical post-transplant complication. Communication between the pleural spaces (clamshell incision), pericardium, and chest wall can lead to complex multi-compartment fistulas and persistent air leaks.
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