1. Endobronchial valve placement in secondary pneumothorax related to allergic bronchopulmonary aspergillosis
- Author
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David M. DiBardino, Deepa Ramadurai, and Gina Hong
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,medicine.medical_treatment ,Sendobronchial valve placement ,Bronchopleural fistula ,Case Report ,Bronchopleural fistula management ,Diseases of the respiratory system ,Allergic bronchopulmonary aspergillosis ,medicine ,Bronchiectasis ,RC705-779 ,business.industry ,Endobronchial valve ,Persistent air leak management ,respiratory system ,medicine.disease ,humanities ,Surgery ,respiratory tract diseases ,Pneumothorax ,Ambulatory ,Secondary pneumothorax management ,business ,Complication ,Pleurodesis - Abstract
Secondary pneumothorax is a rare but serious complication of allergic bronchopulmonary aspergillosis (ABPA) and bronchiectasis [1,2]. Persistent air leak (PAL) after secondary pneumothorax is an ongoing abnormal communication between bronchi or alveoli and the pleural space, despite drainage. Ongoing PAL for 5 days after initial chest tube insertion necessitates prolonged ambulatory drainage or aggressive management with video-assisted thoracoscopic surgery (VATS) or pleurodesis [3,4]. There are no randomized trials examining the efficacy of endobronchial valves (EBVs) for PAL with underlying inflammatory pulmonary disease. We describe the successful use of an EBV for PAL in a man with ABPA on high dose steroids, with a large bronchopleural fistula (BPF).
- Published
- 2021