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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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30May, 2017

laser resection; Adenocarcinoma.

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62 year old male. In 2013 he was diagnosed with a carcinoid of the left lower bronchus. Recently, the patient's condition worsened. He developed tormental cough with hemorrhagic-purulent sputum, periodically turning into bleeding. By Thoracic surgeons the patient has been assessed as inoperable, therefore the patient underwent laser resection using VELASTM 30W Surgical Diode Laser System . After procedure the patient feels good. On Chest CT scan and endoscopically left main bronchus is fully pass through. Histomorphology of the biopsy revealed adenocarcinoma.
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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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7Feb, 2017

Tracheobronchial Stenting, Cicatricial Stenosis of the Left Main Bronchus.

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49 years old patient on 2007 was treated with anti TB chemotherapy due to pulmonary TB. On 2015 was relapse. During many years the patient has dyspnea, increased breathing failure, why he often was hospitalised. Spirometry showed severe obstruction of airways. CT scan revealed severe fibrosis of the upper lobe of the right lung, giant emphysematous bullas in the lower lobe. Narrowing lumen of the left main bronchus less then 3 mm. Bronchoscopy showed cicatricial stenosis of the left main bronchus. Patient's condition was gettig worse. Because of suffocation he often was forced to call an ambulance. It was decided to perform tracheobronchial stenting as the only way out. Under the general anesthesia, using the rigid bronchoscope and radiological control, was inserted self expandable tracheobronchial stent (M.D.-18mm;T.L.-40mm;L-14mmX25mm;R-14mmX25mm). After stenting the patient's condition improved significantly. 1 month after procedure patient feels well.
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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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22Dec, 2016

Stenting of the Right Main Bronchus; Malignant Stenosis

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65 years old male. 2016 Nov he was admitted to National Center for Tuberculosis and Lung Diseases for suspected TB of the right lung. He complained of hemoptysis with episodes of bleeding from airways, severe dyspnea, insomnia. Bronchoscopy revealed malignant stenosis of the right main bronchus. CT 1 Dec 2016 showed central cancer of the right upper lobe with spreading on the main bronchus and invasion in the mediastinum. The patient was redirected to the oncologist. Together we decided to perform stenting for improve the patient's condition and stop bleeding. After stenting the patient's condition improved immediatly: feeling of suffocation dissapeared, bleeding has stopped.
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1Nov, 2016

Foreign Body Extraction

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31 year-old prisoner in order to self-harm swallowed several objects, among them an iron object hit the airways, due to which he had difficulty breathing, stridor appeared, there was a strong pain in the right chest area while moving. Under vital indications, rigid bronchoscopy was performed under general anesthesia using biggest tube in diameter №13. The extraction process hampered the large size of foreign body (length 10 cm). After several failed attempts in the end managed to extract a foreign body. Manipulation was performed without any complications.
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17Oct, 2016

Laser Resection; Mesenchymal origin Spindle Cell Tumour

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56 year old male. Two months before admission the patient has dyspnea, spasmodic cough, appears fever.CT scan and bronchoscopy revealed endobronchial formation, which completely blocked the lumen of the left main bronchus. Endobronchial biopsy revealed Mesenchymal origin Spindle Cell Tumour. The patient's condition worsened and under vital indications the laser resection was performed using VELASTM 30W Surgical Diode Laser System. After the recanalisation of the lumen from the lower lobe goes a lot of purulent mass. After antibiotic therapy the patient feels well.
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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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