Nau M1*, Patel PP2, Duong DK2 and Mahajan AK2
1Department of Medicine, Walter Reed National Military Medical Center, USA 2Department of Surgery, INOVA Fairfax Medical Campus, USAFulltext PDF
A 28-year-old male with a history of alcohol abuse was admitted for chronic alcoholic pancreatitis with finding of new left lower lobe lung mass. He underwent a CT-guided Transthoracic Needle Aspiration (TTNA) of the lung mass with subsequent development of an alveolar-abdominal fistulous tract crossing the left hemi-diaphragm, connecting the left lower lobe and the abdominal cavity. Interventional Pulmonology was consulted and placed four, one-way Spiration intrabronchial valves (Olympus, Redmond, WA, USA) in the left lower lobe. There was adequate closure of the alveolar-abdominal fistula. Intrabronchial valves were able to be removed endoscopically 7 weeks later without complications. This report further demonstrates the ability of endoscopically placed intrabronchial valves to allow for minimally invasive and lung sparing management of alveolarabdominal fistula.
Alveolar-abdominal fistula; Intrabronchial valve; Bronchial valve
Nau M, Patel PP, Duong DK, Mahajan AK. Use of Intrabronchial One-Way Valves for Treatment of Alveolar- Abdominal Fistula: A Case Report. Ann Clin Case Rep. 2022; 7: 2207..