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Respir Med Case Rep. 2014 Dec 16;14:27-9. doi: 10.1016/j.rmcr.2014.12.001. eCollection 2015.

Rescue therapy using an endobronchial valve and digital air leak monitoring in Invasive Pulmonary Aspergillosis.

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Department of Respiratory Medicine, Southern General Hospital, Glasgow G51 4TF, United Kingdom.
Department of Anaesthesia and Intensive Care Medicine, Southern General Hospital, Glasgow, United Kingdom.
Department of Haematology, Southern General Hospital, Glasgow, United Kingdom.


In this case report, we describe the utilisation of two recently developed technologies for the successful management of a persistent air leak (PAL) in a critically ill patient in whom cardiothoracic surgical intervention was not possible. We report the case of a young leukaemic woman with a PAL complicating Invasive Pulmonary Aspergillosis (IPA), who was effectively managed using an Endobronchial Valve, supplemented by objective, digital air leak data provided by a Thopaz(®) device (Medela, Switzerland).


Aspergillosis; Bronchoscopy; Critical care; Immunosuppression; Pneumothorax; Pulmonary fungal infections

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