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Marco Anile
Federico Venuta
Tiziano De Giacomo
Erino Angelo Rendina
Daniele Diso
Giorgio Furio Coloni
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J Thorac Cardiovasc Surg 2006;132:711-712
© 2006 The American Association for Thoracic Surgery

Brief Communication

Treatment of persistent air leakage with endobronchial one-way valves

Marco Anile, MD, Federico Venuta, MD*, Tiziano De Giacomo, MD, Erino Angelo Rendina, MD, Daniele Diso, MD, Francesco Pugliese, MD, Franco Ruberto, MD, Giorgio Furio Coloni, MD

Department of Thoracic Surgery, University of Rome "La Sapienza," Rome, Italy.

Received for publication April 28, 2006; accepted for publication May 17, 2006.

* Address for reprints: Federico Venuta, MD, University of Rome "La Sapienza," Cattedra di Chirurgia Toracica, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy (Email: sofed@libero.it).

The first 20% of the full text of this article appears below.

Persistent air leaks are among the most frequent complications after invasive diagnostic procedures and lung surgery.1Go Treatment and outcome depend on the cause of the air leak, the quality of the lung, and the clinical status of the patient. The "wait and see" policy can be proposed in a relevant number of cases; if it fails, placement of a Heimlich valve, use of a blood patch,2Go and surgical repair are effective options.

We report the case histories of 3 patients with persistent air leak after thoracentesis, video-assisted thoracic surgical treatment of spontaneous pneumothorax, and wedge resection for tuberculosis who were successfully treated with placement of a unidirectional endobronchial valve (EBV). We employed the type of valve used for bronchoscopic lung volume reduction in patients with emphysema.3Go

Clinical Summaries

Patient 1
An 82-year-old woman with pleural effusion positive for metastatic breast cancer had a pneumothorax after thoracentesis. A chest tube was placed, but the air leakage persisted. After a week, blood patch pleurodesis was attempted with no success. A unidirectional Zephyr EBV (Emphasys Medical, Inc, . . . [Full Text of this Article]




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