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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2017  |  Volume : 34  |  Issue : 1  |  Page : 70-72

Re-discovering the heimlich valve: Old wine in a new bottle


Department of Cardiothoracic Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Ajay Narasimhan
S-2 Gopalakrishna Flats, Old No. 14, New No. 21, Lake View Road, West Mambalam, Chennai - 600 033, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.197111

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A 14-year-old boy came to our outpatient department with pleuritic chest pain and dyspnea. He was found to have a loculated empyema on the right side. He was taken up for surgery and decortication was done. He developed air leak in the postoperative period. When the air leak did not settle until the 10th day, we decided to attach the atrium Pneumostat, a modified version of the Heimlich valve to his Intercostal drainage tube and sent him home. On further follow-up, his lung expanded, and ICD could be removed. The patient remains well until the current follow-up. We present this case in an attempt to change the perceptions about various options available to drain the chest. The Heimlich valve appears to be a more compliant option than the conventional underwater seal drainage in terms of early mobility, reduced length of stay, and patient compliance.


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