title: Successful treatment of a life-threatening air leakage, complicating severe abdominal sepsis, with a one-way endobronchial valve.
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.
authors: Department of Thoracic Surgery, University Hospital of Grenoble, Grenoble, France. pybrichon@chu-grenoble.fr
authors: Pierre-Yves
authors: PY
authors: Brichon
authors: Camille
authors: C
authors: Poquet
authors: Catherine
authors: C
authors: Arvieux
authors: Christophe
authors: C
authors: Pison
mesh_terms: D000328:Adult; D001999:Bronchoscopy / Q000295:instrumentation*; D003964:Diaphragm / Q000601:surgery*; D004322:Drainage; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D011650:Pulmonary Alveoli / Q000601:surgery*; D012086:Reoperation; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000601:surgery; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome