1995Acta PaediatricaRequires access

Bronchopleural fistula: successful selective bronchial occlusion with a Fogarty's catheter in a preterm infant

Fabio Mosca, Maria Lattanzio, MR Colnaghi, Savino Gil Pugliese

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Abstract

A preterm infant (26 weeks’gestation) mechanically ventilated for respiratory distress syndrome developed severe interstitial emphysema of the right lung with a bronchopleural fistula, pneumothorax and mediastinal shift. Selective occlusion of the right main bronchus with a Fogarty's catheter produced rapid improvement in the clinical condition and radiological features. Occlusion of the main bronchus in a newborn with a bronchopleural fistula and pulmonary interstitial emphysema is an easily performed manoeuvre that can be life‐saving.Bronchopleural fistula, neonatal respiratory distress syndrome, pulmonary interstitial emphysema, selective bronchial occlusion

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What this paper is about

A preterm infant (26 weeks’gestation) mechanically ventilated for respiratory distress syndrome developed severe interstitial emphysema of the right lung with a bronchopleural fistula, pneumothorax and mediastinal shift. Selective occlusion of the right main bronchus with a Fogarty's catheter produced rapid improvement in the clinical condition and radiological features. Occlusion of the main bronchus in a newborn with a bronchopleural fistula and pulmonary interstitial emphysema is an easily performed manoeuvre that can be life‐saving.Bronchopleural fistula, neonatal respiratory distress syndrome, pulmonary interstitial emphysema, selective bronchial occlusion

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Available abstract

A preterm infant (26 weeks’gestation) mechanically ventilated for respiratory distress syndrome developed severe interstitial emphysema of the right lung with a bronchopleural fistula, pneumothorax and mediastinal shift. Selective occlusion of the right main bronchus with a Fogarty's catheter produced rapid improvement in the clinical condition and radiological features. Occlusion of the main bronchus in a newborn with a bronchopleural fistula and pulmonary interstitial emphysema is an easily performed manoeuvre that can be life‐saving.Bronchopleural fistula, neonatal respiratory distress syndrome, pulmonary interstitial emphysema, selective bronchial occlusion

Key concepts: Medicine, Bronchopleural fistula, Catheter, Fistula, Occlusion, Surgery, Internal medicine, Pneumonectomy

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