C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY最新文献

{"title":"Endobronchial Valve Treatment for Native Lung Hyperinflation in a Single-Lung Transplant Patient","authors":"J. Amja, A. Khan, A. Goyal, D. Dilling","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4152","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4152","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125106771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Symptomatic Endobronchial Hamartoma Causing Right Upper Lobe (RUL) Atelectasis","authors":"M. Yasin, Z. Khan, T. Wiese","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4154","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4154","url":null,"abstract":"Introduction: Pulmonary Hamartomas are the most common benign tumors of lungs. Hamartomas are usually asymptomatic and are incidentally diagnosed on chest imaging. Symptomatic cases usually involve endobronchial mucosa. We describe a case of a symptomatic patient who was noted to have a right upper lobe collapse by an endobronchial lesion. This lesion was confirmed to be a cartilaginous hamartoma and was definitively treated by electrosurgical by Argon plasma (APC). Description: A 37 year old obese male active smoker presented to the ER for worsening Shortness of air (SOA) for two weeks. He had dry cough for similar duration without any fevers. On physical examination he was afebrile with normal vital signs but without hypoxia and otherwise normal physical examination. Labs revealed normal white cell count. A COVID test was negative. CT chest showed an endobronchial lesion obstructing the right upper lobe (RUL) with some internal fat density measuring at least 1.5cm causing complete collapse of RUL. No mediastinal or hilar adenopathy was noted. A flexible bronchoscopy showed a pedunculated smooth lesion arising from RUL bronchus anteriorly occluding the RUL bronchus. FNA of the lesion did not show any malignant cells. Using electrosurgery by APC the lesion was removed en bloc. A histopathology showed findings of cartilaginous hamartoma. A follow up Chest X-ray showed improvement in RUL atelectasis. Discussion: Pulmonary hamartomas are the most common benign pulmonary tumors and comprise 6% of solitary pulmonary nodules. Mostly detected on chest imaging as an incidental finding however CT chest has characteristic finding of pop corn shaped calcifications, fat density. Symptomatic cases are usually endobronchial and can be definitively treated with endoscopic techniques.","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129475437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Yank It Out\" - The Case of the Fallen Yankauer","authors":"D. Lazar, S. Quintiliani, D. Marin, P. Patel","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4136","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4136","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125558209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel of Use of an EZ-Blocker for Massive Hemoptysis in a Critically Ill Patient","authors":"R. Cho, J. Wong, H. Gibson, M. Kakol","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4151","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4151","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116137557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe Tracheal Stenosis in a Patient with History of Prolonged Intubation","authors":"M. Patel, Harsha U. Patel, C. Voong","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4138","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4138","url":null,"abstract":"Post-intubation tracheal stenosis (PiTS) is a complication that occurs in 10-22% of patients after prolonged intubation or tracheostomy. Predisposing factors include localized infection, soft tissue trauma, granulation at the site of stoma, hypotension, tracheal cartilage damage, and metabolic disorders. Despite advances in the design of endotracheal tubes and cuffs, PiTS continues to remain an undesired consequence that warrants increased attention, especially in the COVID pandemic, which has led to increased number of tracheostomies and intubations. Consequently, prompt diagnosis and management is imperative to improve patient survival and quality of life. Herein, we present a 52-year-old male with history of tracheostomy in the setting of prolonged intubation from intraparenchymal hemorrhage with subsequent decannulation who was admitted for the management of pulmonary embolism. His course was complicated by encephalopathy and acute hypercapnic respiratory failure requiring intubation. In the intensive care unit, the patient was extubated after improvement in his respiratory and mental status, however developed shortness of breath and the feeling of impending doom a few hours after extubation. Chest radiograph was obtained and suggested tracheal stenosis (Image-1A). Given this finding, follow-up urgent chest computed tomography demonstrated severe lateral collapse of the subglottic space with critical tracheal stenosis (Image-1B). There was >90% cross sectional area reduction at the site of greatest stenosis (Image-1C). The measured area at the site of greatest stenosis was noted at 0.32 cm2 (average tracheal area is 2.8-3.4 cm2). His tracheal stenosis was suspected to be secondary to his history of tracheostomy. Given these findings, patient was reintubated for airway protection and urgently underwent rigid bronchoscopy. Initially, argon plasma coagulation was used in between stenotic areas, however there was minimal improvement in the airway, requiring a silicone 18 x 14 x 14 cm Y-stent to be placed. Since stent placement, patient has required frequent bronchoscopies to assist with mucus and secretion clearing. The remainder of his hospital course was benign. PiTS is an infrequent yet important complication that clinicians must consider in individuals with a history of prolonged intubation who have sudden difficulty breathing postextubation. Prompt recognition is required to manage these patients effectively. Factors considered in the management include location, length, and the severity of the stenosis. Therefore, if 1) critical stenosis is suspected, 2) the facility is capable of resection and reconstruction, and 3) the patient has minimal comorbidities, surgery should be considered. Otherwise, bronchoscopy with stent placement can be performed.","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131064040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post Intubation Tracheal Stenosis After Severe Covid 19 Infection- Case Series and Literature Review","authors":"C. González, O. M. García Morales, M. J. Fernández Sánchez, C. Villaquirán-Torres, J. Lutz Peña, C. Celis-Preciado, J. I. Lasso Apraez, J. Botero Bahamon, H. Russi, D.S. Romero Rojas, A. Cañas","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4142","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4142","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128584343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Bronchoscopic Lung Volume Reduction Surgery (BLVRS) Hydropneumothorax Masquerading as a Lung Abscess","authors":"A. Halawa, J. Jacob, M. Arif, L. Meza, A. Khokar","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4127","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4127","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129155310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bronchus Suis as a Sequela of Prior Pneumonectomy Causing Intrathoracic Abscess via a Bronchopleural Fistula Requiring Endobronchial Valve","authors":"D. Young, A. Mei, K. D'Souza, M. Perwaiz","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4147","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4147","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126668602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endobronchial Chondroma: A Rare Case of Benign Pulmonary Tumor","authors":"M. Parmar, A. Bajwa, S. Gupta, A. Ghauri, F. Chaudry","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4140","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4140","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122738274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complexity of Managing Excessive Dynamic Airway Collapse of Bronchus Intermedius with Tortuosity and Cobble Stone Appearing Mucosa After Right Upper Lobe Lobectomy","authors":"M. Arif, R. Mendez, J. Jacob, J. Ho, A. Halawa, L. Meza, A. Saeed","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4139","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4139","url":null,"abstract":"","PeriodicalId":262739,"journal":{"name":"C42. CASE REPORTS: CHALLENGES AND INTERESTING CASES IN INTERVENTIONAL PULMONOLOGY","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116440100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}