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Published on: November 10, 2023
Autologous Blood Patch Pleurodesis for Persistent Pneumothorax in Emphysematous Lung: Salvage Success After Chemical
Ernesto P Quinones-Gonzalez1, Belissa A Lopez-Pena1, Greisha Gonzalez-Santiago2
1Internal Medicine, San Juan City Hospital, San Juan, USA.
Abstract:
Persistent air leaks (PALs) present a significant challenge in patients with underlying structural lung abnormalities, such as emphysema. Conventional interventions, including chemical pleurodesis, may be ineffective or poorly tolerated in this population. We present a case of a high-risk patient with refractory pneumothorax successfully managed with autologous blood patch pleurodesis (ABPP). This approach demonstrated rapid resolution of air leak and complete lung re-expansion without surgical intervention. The case underscores ABPP's potential as a safe, bedside alternative in selected patients, particularly those with incomplete pleural apposition or high operative risk.
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