Bronchopleural fistula management in a pediatric patient requiring extracorporeal membrane oxygenation.

Publication/Presentation Date

5-1-2025

Abstract

Bronchopleural fistula (BPF) is a connection between the bronchus and pleural cavity. It is associated with high morbidity and mortality and management of BPF has not been well described in the pediatric population. We describe a 2-year-old girl who presented with fever and increased work of breathing, found to have atypical hemolytic uremic syndrome and Streptococcus necrotizing pneumonia with development of persistent air leak due to bronchopleural fistulas requiring extracorporeal membrane oxygenation (ECMO). Three endobronchial valves were placed with successful resolution of bronchopleural fistulas. She required tracheostomy for chronic respiratory failure and endobronchial valves were eventually removed. Approximately 3.5 months after discharge to acute care rehabilitation, tracheostomy was successfully decannulated. This case highlights the successful use of endobronchial valves for resolution of BPF while on ECMO as well as the importance of further studies on optimal candidates, timing and duration of intervention in addition to sequelae of endobronchial valve placement.

Volume

40

Issue

4

First Page

1049

Last Page

1053

ISSN

1477-111X

Disciplines

Medicine and Health Sciences | Pediatrics

PubMedID

39058277

Department(s)

Department of Pediatrics

Document Type

Article

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