Use of endobronchial one-way valves reveals questions on etiology of spontaneous pneumothorax: report of three cases
| Autor: | YC Gary Lee, Yuet Ling Tsang, Hau Chung Kwok, Yiu Chang, Kwok Chu Kwong, Wai Cho Yu, Yiu Cheong Yeung |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty lcsh:Surgery Case Report lcsh:RD78.3-87.3 Blister Bronchoscopy Occlusion Catheterization Peripheral medicine Humans Aged medicine.diagnostic_test business.industry Pneumothorax General Medicine lcsh:RD1-811 Pleural cavity respiratory system Middle Aged Pleural Diseases medicine.disease Surgery Cardiac surgery respiratory tract diseases Radiography medicine.anatomical_structure Treatment Outcome Cardiothoracic surgery lcsh:Anesthesiology Bleb (medicine) business Airway Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of Cardiothoracic Surgery Journal of Cardiothoracic Surgery, Vol 4, Iss 1, p 63 (2009) |
| ISSN: | 1749-8090 |
| Popis: | Spontaneous pneumothoraces are believed to arise when air from the supplying airway exit via a ruptured visceral pleural bleb into the pleural cavity. Endobronchial one-way valves (EBVs) allow air exit (but not entry) from individual segmental airways. Systematic deployment of EBVs was applied to three patients with secondary spontaneous pneumothoraces and persistent airleak. In all cases, balloon-catheter occlusion of the upper lobe bronchus stopped the airleak. EBVs applied to individual upper lobe segmental airways failed to terminate the airleak, which only stopped after placements of multiple EBVs to occlude all upper lobe segments. The observation questions the traditional belief of 'one-airway-one-bleb-one-leak' in spontaneous pneumothorax. |
| Databáze: | OpenAIRE |
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