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Volume 8
Issue 12
10.3390/children8121208
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Case Report

Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant

by
Giacomo Simeone Amelio
1,2,
Mariarosa Colnaghi
1,
Silvia Gulden
1,2,
Genny Raffaeli
1,2,
Valeria Cortesi
1,2,
Ilaria Amodeo
1,
Giacomo Cavallaro
1,*,
Fabio Mosca
1,2 and
Stefano Ghirardello
1,3
1
Neonatal Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
2
Department of Clinical Sciences and Community Health, Università degli Studi di Milano, 20122 Milan, Italy
3
Neonatal Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
*
Author to whom correspondence should be addressed.
Children 2021, 8(12), 1208; https://doi.org/10.3390/children8121208
Submission received: 19 October 2021 / Revised: 12 December 2021 / Accepted: 16 December 2021 / Published: 20 December 2021
(This article belongs to the Special Issue Neonatal Respiratory Distress Update)
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Abstract

Neonatal pulmonary air leak commonly occurs as a complication of mechanical ventilation in infants with underlying hyaline membrane disease. They can commonly be managed conservatively or with the application of a chest drain, but some severe cases pose a significant challenge in finding an alternative therapeutic solution. Selective bronchial occlusion represents an unconventional rescue therapy for treating bronchopleural fistula resistant to the standard therapy. A 27-week gestation preterm infant ventilated for respiratory distress syndrome developed tension right-sided pneumothorax. Conventional modalities of treatment were tried and were unsuccessful. Intermittent selective bronchial occlusion with a Fogarty’s catheter and high-frequency oscillatory ventilation resulted in considerable improvement in the infant’s clinical condition and radiographic findings.
Keywords: pneumothorax; selective bronchial occlusion; bronchopleural fistula; air leak; preterm infant pneumothorax; selective bronchial occlusion; bronchopleural fistula; air leak; preterm infant

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MDPI and ACS Style

Amelio, G.S.; Colnaghi, M.; Gulden, S.; Raffaeli, G.; Cortesi, V.; Amodeo, I.; Cavallaro, G.; Mosca, F.; Ghirardello, S. Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant. Children 2021, 8, 1208. https://doi.org/10.3390/children8121208

AMA Style

Amelio GS, Colnaghi M, Gulden S, Raffaeli G, Cortesi V, Amodeo I, Cavallaro G, Mosca F, Ghirardello S. Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant. Children. 2021; 8(12):1208. https://doi.org/10.3390/children8121208

Chicago/Turabian Style

Amelio, Giacomo Simeone, Mariarosa Colnaghi, Silvia Gulden, Genny Raffaeli, Valeria Cortesi, Ilaria Amodeo, Giacomo Cavallaro, Fabio Mosca, and Stefano Ghirardello. 2021. "Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant" Children 8, no. 12: 1208. https://doi.org/10.3390/children8121208

APA Style

Amelio, G. S., Colnaghi, M., Gulden, S., Raffaeli, G., Cortesi, V., Amodeo, I., Cavallaro, G., Mosca, F., & Ghirardello, S. (2021). Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant. Children, 8(12), 1208. https://doi.org/10.3390/children8121208

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