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Updated: Mar 14, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
Published on: January 23, 2026
Simultaneous Bilateral Endobronchial Valve Insertion for Management of Persistent Air Leaks Secondary to Necrotising
Jelena Solujic1, Michael Brown1, Phan Nguyen1
1Royal Adelaide Hospital Thoracic Medicine Adelaide Australia.
Abstract:
Pneumothorax is an abnormal communication between the tracheobronchial tree and the pleural space either as a result of a broncho-pleural fistula or an alveolo-pleural fistula. When the air leak from these fistulae persists beyond 5 days it is defined as a persistent air leak (PAL). Whilst surgical repair remains the standard of care, endobronchial valves (EBVs), established for bronchoscopic lung volume reduction (BLVR), are emerging as a minimally invasive alternative. Current data supporting the use of EBVs in PAL are limited to case reports and small retrospective case series. This report details a rare case of bilateral PAL secondary to necrotising pneumonia in a critical ill patient, successfully managed with simultaneous bilateral EBV placement, highlighting the feasibility and clinical efficacy of this approach.
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