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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2021  |  Volume : 38  |  Issue : 7  |  Page : 69-71

Use of endobronchial valve to treat COVID-19 adult respiratory distress syndrome-related alveolopleural fistula


Department of Pulmonary and Critical Care, Riverside Health System, Newport News, VA, USA

Correspondence Address:
Dr. Vikas Pathak
500 J Clyde Morris Blvd, Newport News, VA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/lungindia.lungindia_914_20

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Coronavirus disease-2019 (COVID-19) pneumonia is one of the severe and most dreaded forms of illness caused by severe acute respiratory syndrome coronavirus 2. It often progresses to respiratory failure and acute respiratory distress syndrome (ARDS) requiring mechanical ventilation. ARDS can lead to multiple complications while on mechanical ventilation due to positive airway pressures in a fibrotic lung, one such complication is the development of alveolopleural fistula. Alveolopleural fistula has high morbidity and mortality. We used endobronchial valve in a patient with COVID-19-related ARDS with persistent air leak (alveolopleural fistula), which allowed us to remove the chest tube and wean the patient successfully off mechanical ventilation.


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