Successful treatment of a persistent air leak with an endobronchial valve in a 17-year-old patient with necrotizing pneumonia.

IF 0.8 Q4 RESPIRATORY SYSTEM Respirology Case Reports Pub Date : 2024-11-06 eCollection Date: 2024-11-01 DOI:10.1002/rcr2.70053
Nina M Janssen, Rein Posthuma, Sophie Kienhorst, Michiel A G E Bannier, Ulrich C Lalji, Frits M E Franssen, Roy T M Sprooten
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Abstract

Pleural empyema is a severe condition associated with high morbidity and mortality. Treatment usually consists of pleural drainage with chest tube or surgery, in combination with antimicrobial treatment. Severe pneumonia can evolve in a necrotizing pneumonia, given a higher susceptibility to the occurrence of bronchopleural fistulas with persistent air leaks. This complicates recovery, and surgery may not always be the optimal treatment. We present a case involving a 17-year-old female patient who experienced a post-operative persistent air leak due to necrotizing pneumonia after video-assisted thoracic surgery decortication for empyema, which was successfully treated using an endobronchial valve. After 6 months the valve was removed without complications. Follow-up imaging and lung function revealed a limited area of atelectasis and minimal pleural thickening with normal lung volumes.

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用支气管内瓣膜成功治疗一名 17 岁坏死性肺炎患者的持续性漏气。
胸腔积液是一种严重的疾病,发病率和死亡率都很高。治疗通常包括胸腔插管引流或手术,并结合抗菌治疗。重症肺炎可演变为坏死性肺炎,因为较易发生支气管胸膜瘘和持续漏气。这将使患者的康复变得复杂,而手术不一定是最佳治疗方法。我们介绍了一例 17 岁女性患者的病例,她在接受视频辅助胸腔手术去骨瓣治疗肺水肿后,因坏死性肺炎导致术后持续漏气。6 个月后,瓣膜被移除,未出现并发症。随访的影像学检查和肺功能检查显示,患者有局限性的肺不张,胸膜极度增厚,肺容量正常。
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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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