Abstract
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.
MeSH terms
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Adult
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Bronchoscopy / instrumentation*
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Diaphragm / surgery*
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Drainage
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Extracorporeal Membrane Oxygenation
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Female
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Gastrectomy / adverse effects*
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Gastric Fistula / diagnosis
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Gastric Fistula / etiology
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Gastric Fistula / surgery*
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Humans
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Pneumothorax / etiology
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Pneumothorax / surgery*
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Pulmonary Alveoli / surgery*
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Reoperation
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Respiratory Distress Syndrome / etiology
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Respiratory Distress Syndrome / surgery
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Respiratory Tract Fistula / diagnosis
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Respiratory Tract Fistula / etiology
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Respiratory Tract Fistula / surgery*
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Sepsis / diagnosis
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Sepsis / etiology
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Sepsis / surgery*
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Surgical Wound Infection / diagnosis
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Surgical Wound Infection / etiology
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Surgical Wound Infection / surgery*
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Thoracotomy
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Tomography, X-Ray Computed
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Treatment Outcome