One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient
Abstract Complex persistent air leak (PAL) is a clinical condition which is difficult to treat. Herein, we report the clinical case of an 18‐year‐old woman with lung and bone metastases due an ultrarare sarcoma: “round cell sarcoma non‐Ewing”. She developed persistent air leaks due to an alveolopleu...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-09-01
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| Series: | Thoracic Cancer |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1759-7714.15064 |
| _version_ | 1827820979277004800 |
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| author | Alfonso Fiorelli Lucia Cannella Francesca Capasso Antonio Pizzolorusso Feranda Picozzi Gaetana Messina Giovanni Natale Edoardo Mercadante Salvatore Tafuto |
| author_facet | Alfonso Fiorelli Lucia Cannella Francesca Capasso Antonio Pizzolorusso Feranda Picozzi Gaetana Messina Giovanni Natale Edoardo Mercadante Salvatore Tafuto |
| author_sort | Alfonso Fiorelli |
| collection | DOAJ |
| description | Abstract Complex persistent air leak (PAL) is a clinical condition which is difficult to treat. Herein, we report the clinical case of an 18‐year‐old woman with lung and bone metastases due an ultrarare sarcoma: “round cell sarcoma non‐Ewing”. She developed persistent air leaks due to an alveolopleural fistula which developed following two cycles of chemotherapy with doxorubicin. Chest drainage with suction failed to resolve the air leaks, while surgical treatment was unfeasible due to the poor clinical condition of the patient. Thus, she was reviewed for endoscopic treatment with one‐way endobronchial valves. A small valve was sequentially inserted within each segment of the right upper bronchus to occlude the entire upper lobe. Two days after the procedure, resolution of the air leaks were obtained. Chest drainage was removed 5 days later and the patient was discharged. Chemotherapy was resumed. The patient died 7 months later because of disease progression. |
| first_indexed | 2024-03-12T01:36:59Z |
| format | Article |
| id | doaj.art-3a1f5de6a78d45a3a96db76173f7c076 |
| institution | Directory Open Access Journal |
| issn | 1759-7706 1759-7714 |
| language | English |
| last_indexed | 2024-03-12T01:36:59Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj.art-3a1f5de6a78d45a3a96db76173f7c0762023-09-11T05:34:57ZengWileyThoracic Cancer1759-77061759-77142023-09-0114262712271410.1111/1759-7714.15064One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patientAlfonso Fiorelli0Lucia Cannella1Francesca Capasso2Antonio Pizzolorusso3Feranda Picozzi4Gaetana Messina5Giovanni Natale6Edoardo Mercadante7Salvatore Tafuto8Thoracic Surgery Unit University of Campania Luigi Vanvitelli Caserta ItalyS.C. Sarcomi e Tumori Rari, Istituto Nazionale Tumori‐IRCCS‐Fondazione “G. Pascale” Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Caserta ItalyS.C. Sarcomi e Tumori Rari, Istituto Nazionale Tumori‐IRCCS‐Fondazione “G. Pascale” Naples ItalyS.C. Sarcomi e Tumori Rari, Istituto Nazionale Tumori‐IRCCS‐Fondazione “G. Pascale” Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Caserta ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Caserta ItalyThoracic Surgery, Istituto Nazionale Tumori, “Fondazione G. Pascale”–IRCCS Naples ItalyS.C. Sarcomi e Tumori Rari, Istituto Nazionale Tumori‐IRCCS‐Fondazione “G. Pascale” Naples ItalyAbstract Complex persistent air leak (PAL) is a clinical condition which is difficult to treat. Herein, we report the clinical case of an 18‐year‐old woman with lung and bone metastases due an ultrarare sarcoma: “round cell sarcoma non‐Ewing”. She developed persistent air leaks due to an alveolopleural fistula which developed following two cycles of chemotherapy with doxorubicin. Chest drainage with suction failed to resolve the air leaks, while surgical treatment was unfeasible due to the poor clinical condition of the patient. Thus, she was reviewed for endoscopic treatment with one‐way endobronchial valves. A small valve was sequentially inserted within each segment of the right upper bronchus to occlude the entire upper lobe. Two days after the procedure, resolution of the air leaks were obtained. Chest drainage was removed 5 days later and the patient was discharged. Chemotherapy was resumed. The patient died 7 months later because of disease progression.https://doi.org/10.1111/1759-7714.15064endobronchial valvepersistent air leakssarcomachemotherapybronchoscopy |
| spellingShingle | Alfonso Fiorelli Lucia Cannella Francesca Capasso Antonio Pizzolorusso Feranda Picozzi Gaetana Messina Giovanni Natale Edoardo Mercadante Salvatore Tafuto One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient Thoracic Cancer endobronchial valve persistent air leaks sarcoma chemotherapy bronchoscopy |
| title | One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient |
| title_full | One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient |
| title_fullStr | One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient |
| title_full_unstemmed | One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient |
| title_short | One‐way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient |
| title_sort | one way endobronchial valves in the management of complex persistent air leaks in a soft tissue sarcoma patient |
| topic | endobronchial valve persistent air leaks sarcoma chemotherapy bronchoscopy |
| url | https://doi.org/10.1111/1759-7714.15064 |
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