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Case Reports
. 2012 Oct;15(4):779-80.
doi: 10.1093/icvts/ivs258. Epub 2012 Jul 3.

Successful treatment of a life-threatening air leakage, complicating severe abdominal sepsis, with a one-way endobronchial valve

Pierre-Yves Brichon  1 , Camille Poquet, Catherine Arvieux, Christophe Pison
Affiliations
Case Reports

Successful treatment of a life-threatening air leakage, complicating severe abdominal sepsis, with a one-way endobronchial valve

Pierre-Yves Brichon et al. Interact Cardiovasc Thorac Surg. 2012 Oct.

Abstract

A 41-year-old woman had a jeopardizing air leak from an alveolar-pleural and transdiaphragmatic fistula with pulmonary cavitation, secondary to a severe postoperative abdominal sepsis. Her condition dramatically improved by introduction, in the lower bronchus, of a one-way endobronchial valve, leading to immediate cessation of air leakage and removal of extracorporeal membrane oxygenation, and thus avoiding a lower left lobectomy with myoplasty. Furthermore, removal of the valve nine weeks later led to near-complete recovery of the left lower lobe.

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Figures

Figure 1:
Figure 1:
CT scan showing cavitation in the left lower lobe (A) and ARDS (B).
Figure 2:
Figure 2:
CT scan showing the valve in the left lower bronchus after extubation with lower lobe atelectasis (A) and recovery of left lower lobe ventilation after removal of the valve (B).
See this image and copyright information in PMC

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