Treatment of bronchomalacia in cystic fibrosis by silicone stent.
We report the case of a 15-year-old girl with cystic fibrosis and rapidly declining pulmonary function tests who was found to have collapse of the left main bronchus from bronchomalacia. She underwent successful deployment of an expandable silicone stent in the collapsed bronchus, after which her pulmonary function test results and her clinical picture markedly improved, obviating the need for immediate transplantation. A literature review yielded no prior reports of bronchomalacia in a cystic fibrosis patient being treated with a silicone stent. This case shows that a simple, effective treatment is possible for one cause of obstructive pulmonary function in cystic fibrosis.
Herlitz
Georg N
GN
Department of Surgery, Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
Sternberg
David I
DI
Palazzo
Regina
R
Arcasoy
Selim
S
Sonett
Joshua R
JR
D000293:Adolescent; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery; D001672:Biocompatible Materials; D001982:Bronchial Diseases / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy; D003550:Cystic Fibrosis / Q000150:complications*; D005260:Female; D006801:Humans; D019919:Prosthesis Implantation; D012828:Silicones; D015607:Stents
D001672:Biocompatible Materials; D012828:Silicones