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

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, leadi...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2012-10, Vol.15 (4), p.779-780
Main Authors: Brichon, Pierre-Yves, Poquet, Camille, Arvieux, Catherine, Pison, Christophe
Format: Article
Language:English
Subjects:
Adult
Bronchoscopy - instrumentation
Case Reports
Diaphragm - surgery
Drainage
Extracorporeal Membrane Oxygenation
Female
Gastrectomy - adverse effects
Gastric Fistula - diagnosis
Gastric Fistula - etiology
Gastric Fistula - surgery
Humans
Pneumothorax - etiology
Pneumothorax - surgery
Pulmonary Alveoli - surgery
Reoperation
Respiratory Distress Syndrome, Adult - etiology
Respiratory Distress Syndrome, Adult - surgery
Respiratory Tract Fistula - diagnosis
Respiratory Tract Fistula - etiology
Respiratory Tract Fistula - surgery
Sepsis - diagnosis
Sepsis - etiology
Sepsis - surgery
Surgical Wound Infection - diagnosis
Surgical Wound Infection - etiology
Surgical Wound Infection - surgery
Thoracotomy
Tomography, X-Ray Computed
Treatment Outcome
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Description
Summary: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.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivs258