RT Journal Article
SR Electronic
T1 Delayed targeted atelectasis in a case of bronchoscopic lung volume reduction with endobronchial valves
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e256573
DO 10.1136/bcr-2023-256573
VO 17
IS 4
A1 Chandra, Nikitha C
A1 Fernandez-Bussy, Isabel
A1 Walsh, Katherine L
A1 Abia-Trujillo, David
YR 2024
UL http://casereports.bmj.com/content/17/4/e256573.abstract
AB A woman in her late 60s with severe chronic obstructive pulmonary disease (COPD) and emphysema underwent bronchoscopic lung volume reduction (BLVR) with endobronchial valves (EBV) to address hyperinflation. The initial EBV placement has led to partial lobar atelectasis of the left lower lobe and resulted in significant improvement in the patient’s symptoms and lung function. However, valve migration occurred later due to pneumothorax unrelated to valves, leading to suboptimal clinical improvement. The patient achieved delayed full lobar atelectasis 21 months after EBV placement, which led to a significant clinical improvement. The patient decided to be delisted from the lung transplant list due to the improvement. This case highlights the importance of considering delayed atelectasis as a possible outcome of EBV placement and suggests the need for further exploration of the long-term implications and associations of this procedure.