Endobronchial valve to treat a bronchopleural fistula

Case contributed by Jayanth Keshavamurthy
Diagnosis certain

Presentation

Caucasian with lung cancer, History of poorly differentiated lung adenocarcinoma in the left upper lobe 4 years ago and wedge resection of a 2.2 cm sized primary. Completed radiation concurrently with chemo 2 years later for recurrent locally advanced disease (N2, stage IIIa ).

Patient Data

Age: 55 years
Gender: Male

The unnatural course of lung cancer and treatment.

Set of chest x rays over several weeks.

  1. Port most times suggest some cancer.
  2. Left upper lobe changes from radiation therapy.
  3. Spontaneous bronchopleural fistula with subcutaneous emphysema
  4. Initial treatment with a chest tube.
  5. Endobronchial valve placements in two sessions to seal the leak.
  6. Finally no leak and removal of the chest tube.

Case Discussion

This valve is produced by Pulmonx.

https://pulmonx.com/ous/patients/patient-guide/

 

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