Suffocation From Balloon Bronchoplasty

被引:0
|
作者
Morales-Estrella, Jorge L. [1 ]
Machuzak, Michael [1 ]
Pichurko, Bohdan [1 ]
Inaty, Hanine [1 ]
Mehta, Atul C. [1 ]
机构
[1] Cleveland Clin, Resp Inst, 9500 Euclid Ave,A-90, Cleveland, OH 44195 USA
关键词
asphyxia; airway obstruction; hemorrhage; tracheal stenosis; pulmonary edema;
D O I
10.1097/LBR.0000000000000465
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Negative pressure pulmonary edema is a well-described complication of upper airway obstruction. However, the simultaneous occurrence of blood-stained secretions and petechial tracheobronchial hemorrhage are rarely recognized and a potential complication of transient intentional occlusion of the airways. We described a case of hemorrhagic bronchial mucosa syndrome and asymptomatic blood-tinged pulmonary edema after balloon bronchoplasty for a concentric tracheal stenosis using a flexible bronchoscopy. This was characterized by interval appearance of diffuse petechial tracheobronchial bleeding and a persistent blood-tinged alveolar effluent after sustained occlusion of the airway. The simultaneous occurrence of both phenomena in this patient suggests different degrees of injury in a common pathogenic spectrum. We postulate that sustained, complete occlusion of the airway produces variable degrees of mechanical disruption of the bronchial and alveolar vasculature that lead to the development of negative pressure pulmonary edema and tracheobronchial hemorrhage. In this case, the syndrome was self-limited and without major consequences but highlights an unrecognized potential complication of balloon bronchoplasty.
引用
收藏
页码:156 / 160
页数:5
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