恶性食管癌患者在支气管内侧通气评估系统和数字胸腔引流管的引导下同时进行气管支架和支气管内侧瓣膜(EBV)置入术治疗气管狭窄和持续漏气的新病例。

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-10-14 eCollection Date: 2024-10-01 DOI:10.1002/rcr2.70041
Eugene MingJin Gan, Carrie Kah-Lai Leong
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引用次数: 0

摘要

持续漏气可能并发胸腔恶性疾病,导致严重的发病率和死亡率。一名有 30 包烟瘾史的 51 岁男性被诊断出患有转移性食管癌并侵犯右肺上叶。尽管插入了两个胸腔引流管,但他还是出现了右侧大面积水肿性气胸,并并发了肺水肿,导致持续漏气。三维重建计算机断层扫描成像显示,增大的食管肿瘤严重压迫气管,右上肺叶出现支气管胸膜瘘。患者接受了带有金属气管支架的硬质支气管镜检查。随后,通过支气管内侧通气评估系统和数字胸腔引流管对漏气进行定位和量化,以指导支气管内侧瓣膜的置入。这种介入性支气管镜技术的新颖组合使患者成功过渡到非卧床胸腔引流,随后顺利出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A novel case of simultaneous tracheal stenting and endobronchial valve (EBV) deployment for tracheal stenosis and persistent air leak guided by an endobronchial collateral ventilation assessment system and digital chest drain in malignant esophageal carcinoma.

Persistent air leak may complicate malignant disease of the thorax, causing significant morbidity and mortality. A 51-year-old male with a 30-pack-year history of smoking was diagnosed with metastatic esophageal carcinoma with invasion into the right upper lobe of the lung. He developed a large right hydropneumothorax complicated by empyema leading to persistent air leak despite the insertion of two chest drains. Computed Tomography imaging with 3-dimensional reconstruction showed severe tracheal compression from the enlarging esophageal tumour as well as bronchopleural fistulas in the right upper lobe. Rigid bronchoscopy with metallic tracheal stenting was performed. This was followed by localization and quantification of air leak with an endobronchial collateral ventilation assessment system and a digital chest drain to guide endobronchial valve placement, in a single operative procedure. This novel combination of interventional bronchoscopy techniques enabled successful transition to an ambulatory chest drain and subsequent hospital discharge.

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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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