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TC torácica con neoplasia cavitada y neumotórax asociado con drenaje pleural en el interior de la cavidad pleural (nótese el engrosamiento de la pleura visceral). B. Visión endoscópica con la válvula Zephyr en la entrada de lóbulo inferior derecho.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Varón de 62 años, fumador (índice acumulado 45<span class="elsevierStyleHsp" style=""></span>a/p), EPOC y diagnóstico reciente de carcinoma epidermoide de pulmón en el lóbulo inferior derecho T4N2M0 (estadio<span class="elsevierStyleHsp" style=""></span>IIIB) en tratamiento con quimioterapia y radioterapia. Ingresa por hidroneumotórax derecho y se coloca drenaje torácico. Mala evolución posterior, desarrollando empiema por <span class="elsevierStyleItalic">Staphylococcus aureus</span> y fuga aérea persistente. Se diagnosticó como fístula broncopleural (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A) y se realizó tratamiento endoscópico mediante una válvula endobronquial unidireccional tipo Zephyr en el lóbulo inferior derecho. A los 7<span class="elsevierStyleHsp" style=""></span>días se reprodujo la fuga aérea, por lo que se repitió la broncoscopia, visualizando la válvula en la entrada de la pirámide basal derecha desplazada en dirección craneal, siendo ineficaz (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B), motivo por el que se decidió extraer. Distalmente a la válvula se observó material fibrinoide y purulento que se retira y se accede a la cavidad pleural, observando la pleura parietal y diafragmática, ambas engrosadas y de aspecto infiltrativo, así como el drenaje torácico normoposicionado (<a class="elsevierStyleCrossRef" href="#sec0010">vídeo</a>). La fístula broncopleural tiene un pronóstico ominoso (mortalidad 0,05-27%)<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. Los factores de riesgo más importantes son la edad, diabetes mellitus, infección pulmonar necrosante, EPOC, toma de corticoides crónicos o tratamiento quimiorradioterápico<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>. Aunque el tratamiento de elección es quirúrgico, pacientes no candidatos a cirugía estrictamente seleccionados pueden beneficiarse del tratamiento endoscópico. En nuestro caso, la situación de una infección aguda concomitante a la fístula genera controversia en la colocación de un dispositivo valvular endobronquial, pero, descartada la cirugía debido a las comorbilidades del paciente, era la única posibilidad terapéutica disponible para, una vez controlada la fuga aérea, reiniciar el tratamiento quimiorradioterápico.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Ambos autores han contribuido por igual en la elaboración del artículo.</p>" "identificador" => "fn0005" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0015" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Anexo A" "titulo" => "Material adicional" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 522 "Ancho" => 1300 "Tamanyo" => 100030 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. TC torácica con neoplasia cavitada y neumotórax asociado con drenaje pleural en el interior de la cavidad pleural (nótese el engrosamiento de la pleura visceral). B. Visión endoscópica con la válvula Zephyr en la entrada de lóbulo inferior derecho.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 20188601 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchopleural fistula in the surgery of non-small cell lung cancer: Incidence, risk factors, and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Sirbu" 1 => "T. Busch" 2 => "I. Aleksic" 3 => "W. Schreiner" 4 => "O. Oster" 5 => "H. Dalichau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Cardiovasc Surg." "fecha" => "2001" "volumen" => "7" "paginaInicial" => "330" "paginaFinal" => "336" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11888471" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of persistent air leaks" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.C. Dugan" 1 => "B. Laxmanan" 2 => "S. Murgu" 3 => "D.K. Hogarth" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.chest.2017.02.020" "Revista" => array:6 [ "tituloSerie" => "Chest." "fecha" => "2017" "volumen" => "152" "paginaInicial" => "417" "paginaFinal" => "423" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28267436" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005800000005/v2_202212170819/S0300289621003203/v2_202212170819/es/main.assets" "Apartado" => array:4 [ "identificador" => "93646" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images/Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000005/v2_202212170819/S0300289621003203/v2_202212170819/es/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621003203?idApp=UINPBA00003Z" ]
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