Tracheobronchoplasty and Diaphragmatic Plication under VV ECMO for Combined ECAC and Diaphragmatic Paralysis

The coexistence of expiratory central airway collapse and diaphragmatic paralysis presents a diagnostic and treatment challenge. Both entities are underrecognized causes of dyspnea, cough, sputum production, and orthopnea. Optimal treatment must be individualized and is best achieved by a multidisci...

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Bibliographic Details
Main Authors: Mehmet M. Tatari, David Abia-Trujillo, Mathew Thomas, Neal M. Patel, Sebastian Fernandez-Bussy, Britney N. Hazelett, Margaret M. Johnson
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2021/5565754
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Summary:The coexistence of expiratory central airway collapse and diaphragmatic paralysis presents a diagnostic and treatment challenge. Both entities are underrecognized causes of dyspnea, cough, sputum production, and orthopnea. Optimal treatment must be individualized and is best achieved by a multidisciplinary team. We present a case of a patient with profound functional impairment from dyspnea and hypoxemia due to expiratory central airway collapse, complicated by bronchiectasis from recurrent respiratory infections, and diaphragmatic paralysis.
ISSN:2090-6854