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Case Reports
. 2021 Jan-Dec:9:23247096211013215.
doi: 10.1177/23247096211013215.

Bronchopleural Fistula as a Complication in a COVID-19 Patient Managed With Endobronchial Valves

Affiliations
Case Reports

Bronchopleural Fistula as a Complication in a COVID-19 Patient Managed With Endobronchial Valves

Andrew Talon et al. J Investig Med High Impact Case Rep. 2021 Jan-Dec.

Abstract

Bronchopleural fistula (BPF) is associated with high morbidity if left untreated. Although rare, the frequency of BPF in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is becoming recognized in medical literature. We present a case of a 64-year-old male with BPF with persistent air leak due to SARS-CoV-2 pneumonia treated with Spiration Valve System endobronchial valve (EBV). An EBV was placed in the right middle lobe with successful cessation of air leak. In conclusion, the use of EBVs for BPF with persistent air leaks in SARS-CoV-2 patients who are poor surgical candidates is effective and safe.

Keywords: COVID-19; bronchopleural fistula; endobronchial valve; interventional pulmonology.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Bronchoscopy revealing friable inflamed right middle lobe.
Figure 2.
Figure 2.
Endobronchial valve deployed in the right middle lobe.

References

    1. Wright CD, Wain JC, Mathisen DJ, Grillo HC. Postpneumonectomy bronchopleural fistula after sutured bronchial closure: incidence, risk factors, and management. J Thorac Cardiovasc Surg. 1996;112:1367-1371. - PubMed
    1. Placik DA, Taylor WL, Wnuk NM. Bronchopleural fistula development in the setting of novel therapies for acute respiratory distress syndrome in SARS-CoV-2 pneumonia. Radiol Case Rep. 2020;15:2378-2381. doi:10.1016/j.radcr.2020.09.026 - DOI - PMC - PubMed
    1. Salik I, Vashisht R, Abramowicz AE. Bronchopleural Fistula. StatPearls; 2021. - PubMed
    1. Ravikanth R, Mathew S, Pinto DS. Management of acquired bronchopleural fistula due to chemical pneumonia. Ci Ji Yi Xue Za Zhi. 2018;30:116-118. doi:10.4103/tcmj.tcmj_98_17 - DOI - PMC - PubMed
    1. Lois M, Noppen M. Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management. Chest. 2005;128:3955-3965. doi:10.1378/chest.128.6.3955 - DOI - PubMed

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