Case Reports in Pulmonology (Jan 2021)

Tracheobronchoplasty and Diaphragmatic Plication under VV ECMO for Combined ECAC and Diaphragmatic Paralysis

  • Mehmet M. Tatari,
  • David Abia-Trujillo,
  • Mathew Thomas,
  • Neal M. Patel,
  • Sebastian Fernandez-Bussy,
  • Britney N. Hazelett,
  • Margaret M. Johnson

DOI
https://doi.org/10.1155/2021/5565754
Journal volume & issue
Vol. 2021

Abstract

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The coexistence of expiratory central airway collapse and diaphragmatic paralysis presents a diagnostic and treatment challenge. Both entities are underrecognized causes of dyspnea, cough, sputum production, and orthopnea. Optimal treatment must be individualized and is best achieved by a multidisciplinary team. We present a case of a patient with profound functional impairment from dyspnea and hypoxemia due to expiratory central airway collapse, complicated by bronchiectasis from recurrent respiratory infections, and diaphragmatic paralysis.