View Article |
HIGH RISK PERSISTENT AIR LEAKS IN GIANT AND DIFFUSE BULLAE LUNG DISEASE SALVAGED BY URGENT ENDOBRONCHIAL VALVE (EBV) INSERTION
Jen Lye Wan1, Nor Hayati Mohd Said2, Adrian Ooi Seng Wae3, Jamalul Azizi Abdul Rahaman4.
Persistent air leak (PAL) is a common complication of pneumothorax despite intercostal drainage. Neither pneumothorax management guidelines from the American College ofChest Physicians (2001) nor the British Thoracic Society (2010) recommended bronchoscopy, much less endobronchial valves as management for PAL. We describe a case of a 62-year-old gentleman, an active smoker of 40 pack-years, who had a history of left-sided pneumothorax in 2019 that was treated conservatively. In August 2021, he presented with shortness of breath and right-sided chest discomfort. His Chest X-ray revealed a right tension pneumothorax. A chest drain was inserted with much clinical improvement. However, he had a persistent air leak despite 30 days on a chest drain. Because of his refusal of surgical intervention, the patient underwent endobronchial valve insertion as a salvage procedure into his right upper lobe. His PAL was resolved within 24hours, and he was discharged the next day.
Affiliation:
- Pulmonology Department, Hospital Serdang, 43000, Kajang, Selangor, Malaysia, Malaysia
- Oriental Melaka Straits Medical Centre, 75200, Klebang, Melaka, Malaysia, Malaysia
- Oriental Melaka Straits Medical Centre, 75200, Klebang, Melaka, Malaysia, Malaysia
- Pulmonology Department, Hospital Serdang, 43000, Kajang, Selangor, Malaysia, Malaysia
Download this article (This article has been downloaded 27 time(s))
|
|
Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
|
0 |
Immediacy Index
|
0.000 |
Rank |
0 |
|
|
|