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Endobronchial stenting on VV-ECMO in a 6-month-old girl with right lung agenesis and severe stenosis of the left main bronchus
V. Vobruba, J. Votruba, J. Bělohlávek, T. Grus, P. Leden, T. Zaoral, J. Hřídel,
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu kazuistiky, časopisecké články, práce podpořená grantem
PubMed
29658403
DOI
10.1177/0267659118768153
Knihovny.cz E-zdroje
- MeSH
- bronchy abnormality MeSH
- kojenec MeSH
- lidé MeSH
- mimotělní membránová oxygenace metody MeSH
- mnohočetné abnormality chirurgie MeSH
- plíce abnormality chirurgie MeSH
- plicní nemoci chirurgie MeSH
- respirační insuficience patologie chirurgie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
INTRODUCTION: Lung agenesis is a rare disorder with a variable, but potentially very bad clinical course. It necessitates complex clinical management, especially in life-threatening situations. CASE REPORT: We describe a case of a 6-month-old girl with right lung agenesis who required venovenous extracorporeal membrane oxygenation (VV-ECMO) due to pneumonia complicated by exacerbated previously diagnosed left main bronchus stenosis. The stenosis was resolved by endobronchial intervention and X-ray-guided stent insertion, which enabled weaning from ECMO and was aimed at preventing such a life-threatening respiratory failure in the future. Unfortunately, even with the functional stent, the baby died 2 months post-procedure due to unresolvable bronchial spasms. DISCUSSION: Despite high endobronchial stenting-related mortality in children, in cases where no effective pharmacological or surgical alternatives exist, stenting may be safely performed during VV-ECMO support and be a viable option to overcome critical respiratory failure caused by bronchial stenosis.
Department of Paediatrics and Adolescent Medicine General University Hospital Prague Czech Republic
Department of Surgery 2 Cardiovascular Surgery General University Hospital Prague Czech Republic
University Hospital Ostrava Clinic of Paediatrics Czech Republic
Citace poskytuje Crossref.org
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