Digital quantification of air leak to identify the location of an alveolopleural fistula

This paper presents a case study of a patient developing a prolonged air leak after thoracic surgery for mesothelioma. The alveolopleural fistula was localized bronchoscopically by selective balloon occlusion of the right upper lobe segments and confirmation of decreased air leak on a digital thorac...

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Veröffentlicht in:	Annals of the American Thoracic Society 2014-09, Vol.11 (7), p.1152-1154
Hauptverfasser:	Saettele, Timothy M, Jimenez, Carlos A
Format:	Artikel
Sprache:	eng
Schlagworte:	Balloon Occlusion - instrumentation Balloon Occlusion - methods Bronchial Fistula - diagnosis Bronchial Fistula - therapy Bronchoscopy - methods Follow-Up Studies Humans Lung Neoplasms - pathology Lung Neoplasms - surgery Male Mesothelioma - pathology Mesothelioma - surgery Middle Aged Pleural Diseases - diagnosis Pleural Diseases - therapy Pneumonectomy - adverse effects Pneumonectomy - methods Pneumothorax - etiology Pneumothorax - therapy Postoperative Complications - diagnosis Postoperative Complications - therapy Stents Treatment Outcome
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Beschreibung
Zusammenfassung:	This paper presents a case study of a patient developing a prolonged air leak after thoracic surgery for mesothelioma. The alveolopleural fistula was localized bronchoscopically by selective balloon occlusion of the right upper lobe segments and confirmation of decreased air leak on a digital thoracic drainage system. Five endobronchial valves were placed in the right upper lobe with resolution of the air leak.
ISSN:	2329-6933 2325-6621
DOI:	10.1513/AnnalsATS.201404-176CC