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Reversing left bronchus obstruction by compression of a pulmonary artery stent
Author(s) -
Brown Stephen C.,
Proesmans Marijke,
Gewillig Marc
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26396
Subject(s) - medicine , stent , compression (physics) , bronchus , aorta , left pulmonary artery , left main bronchus , radiology , cardiology , airway obstruction , airway , surgery , pulmonary artery , lung , respiratory disease , bronchoscopy , materials science , composite material
We report a case where endovascular stenting as part of the treatment of complex cardiovascular disease led to airway compression. Using a novel technique, this was successfully reversed. Simultaneous inflations of two balloons—one in the obstructed bronchus and one in the aorta combined with external compression of the chest—resulted in compression the stent. This report illustrates that by thinking “out of the box” and bearing in mind spatial relationships inside the chest, it is possible to diminish the anterior–posterior diameters of a stent. This intervention proved to be successful with relief of the left bronchial compression and improvement of chronic airway infection. © 2016 Wiley Periodicals, Inc.