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Treatment of a pneumatocele in a COVID-19 patient with endobronchial valves.

Authors:
Anders Standal Bugge Arve Sundset Trond Mogens Aaløkken Lars Hilmar Jørgensen

BMJ Case Rep 2022 Jun 21;15(6). Epub 2022 Jun 21.

Department of Cardio-thoracic Surgery, Oslo University Hospital, Oslo, Norway.

A man in his 40s was admitted to his local hospital 6 days after the first vague symptoms of COVID-19. His general condition deteriorated, and he was treated in the intensive care unit but did not require mechanical ventilation. During his recovery, he experienced a cough spell, after which his dyspnoea recurred and rapidly increased. CT pulmonary angiogram showed a 10×18 cm cavitary lesion with an air-fluid level and surrounding atelectasis of the right lower lobe. A one-way valve mechanism had developed, leading to the formation of a pneumatocele. The patient was treated by occlusion of all bronchial segments of the right lower lobe with endobronchial valves, and the pneumatocele was evacuated with a pigtail catheter. The valves were removed 4 weeks after insertion, and the right lower lobe re-expanded. Six months after treatment, the patient had recovered completely and almost regained his former lung function.

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Source
http://dx.doi.org/10.1136/bcr-2022-250409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9214299PMC
June 2022

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