scholarly journals The Management of Near-Fatal Hemoptysis with Left Secondary Carinal Y Stent

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Levent Dalar ◽  
Cengiz Özdemir ◽  
Sinem Sökücü ◽  
Levent Karasulu ◽  
Sedat Altın
Keyword(s):  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Rigid Bronchoscopy ◽  
Left Main Bronchus ◽  
Massive Hemoptysis ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
Successful Control ◽  
Submucosal Infiltration

Massive hemoptysis can be a life threatening condition and needs urgent treatment in lung cancer. In the fiberoptic bronchoscopy of a fifty-two-year-old who was admitted with hemoptysis, left upper lobe upper division orifice was seen totally obstructed with a submucosal infiltration. One hour after the mucosal biopsies, massive hemoptysis occurred. Urgent rigid bronchoscopy was performed. The left main bronchus was occluded by sterile gauze. After cleaning of the coagulum patient was intubated and charged to intensive care unit. The next day, rigid bronchoscopy was repeated and the bleeding was observed to continue from the left upper lobe. Removing the gauze, 14 × 10 × 10 mm silicon Y stent was inserted in the left main bronchus after adjustments were made. Bleeding was stopped after insertion of the stent and patient could be extubated. In this case a successful control of hemoptysis was sustained after insertion of a customized silicon stent was presented.

scholarly journals Acute life-threatening respiratory distress syndrome in an infant due to a bronchogenic cyst

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Holger Rupprecht ◽  
Marx Holger ◽  
Klinge Jens ◽  
Katharina Gaab
Keyword(s):  
Airway Resistance ◽  
Distress Syndrome ◽  
Bronchogenic Cyst ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Shortness Of Breath ◽  
Left Main ◽  
Emergency Thoracotomy ◽  
Life Threatening ◽  
Progressive Hypoxia

An 8-week-old infant was admitted to the hospital after an initially normal postpartum course with pronounced shortness of breath. Progressive hypoxia and a loss of consciousness occurred during the computer tomography examination, whereby the massively increased airway resistance hardly allowed ventilation. During a emergency thoracotomy, a bronchogenic cyst which had compressed the left main bronchus, was successfully extirpated.

scholarly journals Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuanhua Qiu ◽  
Shan Xu ◽  
Yafang Wang ◽  
Enguo Chen
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Operation Time ◽  
Fish Bone ◽  
Left Main Bronchus ◽  
Esophageal Wall ◽  
Left Main ◽  
Interventional Bronchoscopy ◽  
Retrosternal Pain

Abstract Background Foreign body ingestion is a common emergence in gastroenterology. Foreign bodies are most likely to be embedded in the esophagus. The sharp ones may penetrate the esophageal wall and lead to serious complications. Case presentation A 72-year-old Chinese female was admitted to our hospital with a 4-day history of retrosternal pain and a growing cough after eating fish. Chest computed tomography scan indicated that a high-density foreign body (a fish bone) penetrated through the esophageal wall and inserted into the left main bronchus. First, we used a rigid esophagoscope to explore the esophagus under general anesthesia. However, the foreign body was invisible in the side of the esophagus. Then, the fiberoptic bronchoscopy was performed. We divided the fish bone, which traversed the left main bronchus, into two segments under holmium laser and removed the foreign body successfully. The operation time was short and there were no complications. The patient was discharged 1 week postoperatively and was symptom free even under a liquid diet. Conclusions There are several challenges in the management of this rare condition. We applied the technique of interventional bronchoscopy to the management of esophageal foreign body flexibly in an emergency. A surgery was avoided, which was more invasive and costly.

scholarly journals Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Dragan Subotic ◽  
Nikola Atanasijadis ◽  
Dejan Moskovljevic ◽  
Dragana Asujic
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Rigid Bronchoscopy ◽  
Metallic Foreign Body ◽  
Surgical Team ◽  
Descending Aorta ◽  
Mentally Disabled ◽  
Airway Injury ◽  
Threatening Condition ◽  
Life Threatening

In a mentally disabled adolescent, bronchoscopic extraction failure of a metallic foreign body from the left main bronchus was followed by mediastinal emphysema. At thoracotomy, a part of the metallic hook was found to protrude through the main bronchus, just by the descending aorta. The foreign body was removed and the bronchus sutured. After the thoracotomy closure, laparotomy was performed with removal of metallic pieces from the stomach. After three years, a repeated metallic foreign body aspiration as confirmed by the chest radiography ensued, with metallic pieces in the bowels as well. With the surgical team on site, rigid bronchoscopy was done and the foreign body extracted from the intermediate bronchus. Metallic pieces left the digestive tract spontaneously after a few days. In conclusion, the appropriate preoperative workup and timing for surgery are essential for the treatment outcome of this life-threatening condition; because of the high likelihood of the major airway injury, such procedures should be done with a surgical team available whenever possible.

Endobronchial stenting on VV-ECMO in a 6-month-old girl with right lung agenesis and severe stenosis of the left main bronchus

Perfusion ◽  
2018 ◽  
Vol 33 (7) ◽  
pp. 599-601
Author(s):  
Vaclav Vobruba ◽  
Jiri Votruba ◽  
Jan Bělohlávek ◽  
Tomas Grus ◽  
Pavel Leden ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Stent Insertion ◽  
Left Main ◽  
Life Threatening ◽  
Venovenous Extracorporeal Membrane Oxygenation ◽  
Lung Agenesis ◽  
Vv Ecmo ◽  
Related Mortality

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.

Endobronchial Lipoma Presenting as Destroyed Lung

1996 ◽  
Vol 4 (1) ◽  
pp. 49-50 ◽  
Author(s):  
Madhu Sudan Barthwal ◽  
Dheeraj Gupta ◽  
Rana Sandeep Singh ◽  
Nandita Kakkar
Keyword(s):  
Main Bronchus ◽  
Left Lung ◽  
Fiberoptic Bronchoscopy ◽  
Left Main Bronchus ◽  
Recurrent Infections ◽  
Computed Tomography Scan ◽  
Left Main ◽  
Destroyed Lung ◽  
Tomography Scan ◽  
Complete Collapse

A 50-year-old man presented with recurrent infections and progressively increasing breathlessness of 5 years duration. Fiberoptic bronchoscopy revealed a smooth-rounded growth obstructing the left main bronchus. Computed tomography scan showed complete collapse of the left lung with extensive bronchiectasis. A pneumonectomy was performed.

scholarly journals A Cause of Asthma Misdiagnosis: Foreign Body Aspiration That Allows Air Passage Through

2021 ◽  
Author(s):  
Zeynep Reyhan Onay ◽  
Yetkin Ayhan ◽  
Nilay Baş İkizoğlu ◽  
Ersan Uzun ◽  
Gülay Bilgin ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Main Bronchus ◽  
Foreign Body Aspiration ◽  
Asthma Treatment ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Air Passage

Foreign body aspiration is a life-threatening condition in childhood. Clinical and radiological diagnosis may be delayed in cases in which foreign body has a lumen and allows the air passage through and is also misdiagnosed as asthma or chronic cough. The delay in the diagnosis can cause morbidity and mortality. We have reported the case of an 11-year-old boy with foreign body aspiration who has been treated as asthma. His dry cough could not be controlled with the asthma treatment. He had swallowed a piece of pipette before the coughing started. Fiber optic bronchoscopy was applied. The piece of pipette was seen in the left main bronchus which allowed the air passage through its lumen. After the removal, his complaints disappeared. In conclusion, the patients with a history of aspiration and without signs of lateralization in physical or radiological examinations should be evaluated by fiber optic bronchoscopy in terms of foreign body aspiration.

scholarly journals MITRAL INSUFFICIENCY WITH COMPRESSION OF THE LEFT MAIN BRONCHUS TREATED BY OPEN-HEART SURGERY

1959 ◽  
Vol 37 (3) ◽  
pp. 320-324
Author(s):  
David R. Murphy ◽  
Anthony R.C. Dobell ◽  
Gordon M. Karn ◽  
James E. Gibbons
Keyword(s):  
Heart Surgery ◽  
Main Bronchus ◽  
Open Heart Surgery ◽  
Left Main Bronchus ◽  
Mitral Insufficiency ◽  
Open Heart ◽  
Left Main

scholarly journals METALLIC FOREIGN BODY IN LEFT MAIN BRONCHUS (A Case Report)

1994 ◽  
Vol 50 (2) ◽  
pp. 147-148
Author(s):  
KV SURYANARAYANA ◽  
PC CHAMYAL ◽  
MR WAGHRAY
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Metallic Foreign Body ◽  
Left Main
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