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8Jun, 2017

Valvular Bronchoblocation, Bronchopleural Fistula

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27 old female patient. In 2012 and repeatedly in 2016 she was treated with anti TB chemotherapy because of pulmonary TB. In February of 2017 she developed hemoptysis, periodically turned into bleeding. In march of 2017 she underwent left-sided pneumonectomy under vital indications. Two months after surgery developed the insufficiency of the stump of the left main bronchus. Patient’s condition worsened and was decided to conduct valve placement. Under general anesthesia in the left main bronchus has been inserted MEDLUNG bronchial valve N13. After manipulation air leak has been stopped from drainage. Full hermitization has been reached. The patient was discharged in good clinical condition.
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3May, 2017

Valvular Bronchoblocation, Bullous emphysema, Giant bullae

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60 year old male patient. From 2002 he had COPD. Because of frequent exacerbations he was periodically hospitalized. His condition recently worsened. Except dyspnea he developed hemoptysis, periodically turned into bleeding. The patient was consulted by thoracic surgeons. Surgery was not considered appropriate because of high risk of complications. It was decided to make bronchoblocation as the only option. Under general anesthesia in the right upper bronchus has been inserted MEDLUNG bronchial valve N13. 1 months after procedure CXR showed decreased volume of giant bullae from 16 cm to 12 cm in diameter.
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17Feb, 2017

Valvular Bronchoblocation, Bleeding from pulmonary tuberculosis cavities

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57-year-old male patient. On 2013 he was treated for pulmonary tuberculosis. A few months ago he developed bloody coughing, periodically with bleeding episodes. The patient is constantly on hemostatic drugs, which are developed intolerance and coagulopathy. Now he is on the anti TB chemotherapy again. Was consulted by thoracic surgeons. Surgery was not considered appropriate because of high risk of complications and lethal outcome. It was decided to make bronchoblocation as the only option. Under general anesthesia in the left upper bronchus has been inserted MEDLUNG bronchial valve N12. 2 days after procedure CXR showed significantly decreased volume of cavities in the left upper lobe, which indicates collapsotherapy feature of valve.
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12Jan, 2017

Bronchopleural Fistula

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The patient 54 old woman. In 1989 she underwent resection of the left lower lobe because of bronchiectasis. Throughout the years she had exacerbations, which were manifested by fever, cough with abundant purulent and hemorragic sputum. Chest CT showed left sided pneumocirrhosis and plural cavities. Bronchoscopy revealed the fistula of the left lower bronchus and purulent-hemorragic endobronchitis of the left upper lobe bronchus. The patient was assessed by thoracic surgeon. It was decided to make bronchoblocation as the best option. Under general anesthesia in the left main bronchus has been inserted MEDLUNG bronchial valve N13. After the procedure the patient notes lack of cough with purulent-hemorragic sputum.
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22Sep, 2016

Bronchopleural Fistula

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37 year old woman. In 1997, she underwent resection of the right upper lobe because of the pulmonary tuberculosis. For a long time she suffered from a cough with a lot of purulent, hemorrhagic sputum. Periodically, she had an exacerbations, why she was often hospitalized. Under general anesthesia in the right upper lobe bronchus has been inserted MEDLUNG bronchial valve N12. During the several months after the procedure the cavity has been decreased due to medicinal hypoventilation.
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