CTICasesResolved Persistent Air Leak Post-Pneumothorax with Bronchial Stent Placement
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Imaging findings
Initial imaging showed a large spontaneous pneumothorax on the right side in a patient with a prior left lung transplant and emphysema in the remaining right lung. A crimped stent was subsequently placed in the bronchial tree to address a persistent air leak. Follow-up radiographs after stent removal demonstrated complete resolution of the air leak, with some residual pleural fluid and improved right lung inflation.
Key takeaways
Managing persistent air leaks, especially in complex patients such as lung transplant recipients with underlying emphysema, can be challenging. This case effectively demonstrates that bronchial stent placement can be a viable and successful intervention to control persistent air leaks. The resolution of the air leak was sustained even after the stent was removed, indicating a successful outcome of the intervention.
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