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Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant

Neonatal pulmonary air leak commonly occurs as a complication of mechanical ventilation in infants with underlying hyaline membrane disease. They can commonly be managed conservatively or with the application of a chest drain, but some severe cases pose a significant challenge in finding an alternat...

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Autores principales: Amelio, Giacomo Simeone, Colnaghi, Mariarosa, Gulden, Silvia, Raffaeli, Genny, Cortesi, Valeria, Amodeo, Ilaria, Cavallaro, Giacomo, Mosca, Fabio, Ghirardello, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700577/
https://www.ncbi.nlm.nih.gov/pubmed/34943403
http://dx.doi.org/10.3390/children8121208
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author Amelio, Giacomo Simeone
Colnaghi, Mariarosa
Gulden, Silvia
Raffaeli, Genny
Cortesi, Valeria
Amodeo, Ilaria
Cavallaro, Giacomo
Mosca, Fabio
Ghirardello, Stefano
author_facet Amelio, Giacomo Simeone
Colnaghi, Mariarosa
Gulden, Silvia
Raffaeli, Genny
Cortesi, Valeria
Amodeo, Ilaria
Cavallaro, Giacomo
Mosca, Fabio
Ghirardello, Stefano
author_sort Amelio, Giacomo Simeone
collection PubMed
description Neonatal pulmonary air leak commonly occurs as a complication of mechanical ventilation in infants with underlying hyaline membrane disease. They can commonly be managed conservatively or with the application of a chest drain, but some severe cases pose a significant challenge in finding an alternative therapeutic solution. Selective bronchial occlusion represents an unconventional rescue therapy for treating bronchopleural fistula resistant to the standard therapy. A 27-week gestation preterm infant ventilated for respiratory distress syndrome developed tension right-sided pneumothorax. Conventional modalities of treatment were tried and were unsuccessful. Intermittent selective bronchial occlusion with a Fogarty’s catheter and high-frequency oscillatory ventilation resulted in considerable improvement in the infant’s clinical condition and radiographic findings.
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spelling pubmed-87005772021-12-24 Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant Amelio, Giacomo Simeone Colnaghi, Mariarosa Gulden, Silvia Raffaeli, Genny Cortesi, Valeria Amodeo, Ilaria Cavallaro, Giacomo Mosca, Fabio Ghirardello, Stefano Children (Basel) Case Report Neonatal pulmonary air leak commonly occurs as a complication of mechanical ventilation in infants with underlying hyaline membrane disease. They can commonly be managed conservatively or with the application of a chest drain, but some severe cases pose a significant challenge in finding an alternative therapeutic solution. Selective bronchial occlusion represents an unconventional rescue therapy for treating bronchopleural fistula resistant to the standard therapy. A 27-week gestation preterm infant ventilated for respiratory distress syndrome developed tension right-sided pneumothorax. Conventional modalities of treatment were tried and were unsuccessful. Intermittent selective bronchial occlusion with a Fogarty’s catheter and high-frequency oscillatory ventilation resulted in considerable improvement in the infant’s clinical condition and radiographic findings. MDPI 2021-12-20 /pmc/articles/PMC8700577/ /pubmed/34943403 http://dx.doi.org/10.3390/children8121208 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Amelio, Giacomo Simeone
Colnaghi, Mariarosa
Gulden, Silvia
Raffaeli, Genny
Cortesi, Valeria
Amodeo, Ilaria
Cavallaro, Giacomo
Mosca, Fabio
Ghirardello, Stefano
Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
title Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
title_full Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
title_fullStr Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
title_full_unstemmed Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
title_short Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
title_sort selective bronchial occlusion for treatment of a bronchopleural fistula in an extremely preterm infant
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700577/
https://www.ncbi.nlm.nih.gov/pubmed/34943403
http://dx.doi.org/10.3390/children8121208
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