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CASE REPORT article

Front. Pediatr.
Sec. Pediatric Cardiology
Volume 12 - 2024 | doi: 10.3389/fped.2024.1466852

Treatment of pneumothorax and bronchopleural fistula by extracorporeal membrane oxygenation in a neonate: A case report

Provisionally accepted
Taining Zhang Taining Zhang *Jianxiu Wang Jianxiu Wang *Bingying Zhou Bingying Zhou *Bin Yan Bin Yan *Xilong Chen Xilong Chen *Yanxia Wang Yanxia Wang Weikai Wang Weikai Wang *
  • Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China

The final, formatted version of the article will be published soon.

    Intractable pneumothorax secondary to bronchopulmonary fistula is a rare complication in neonates. We present the first report of a newborn with spontaneous pneumothorax and bronchopleural fistula treated with extracorporeal membrane oxygenation (ECMO). Positive pressure mechanical ventilation resulted in persistent air leakage from the bronchopleural fistula. When ECMO was initiated, a "total lung rest" ventilation strategy was used to facilitate the healing of bronchopleural fistula and the absorption of the pneumothorax. ECMO is an effective supportive therapy for neonate pneumothorax and bronchopulmonary fistula when conventional ventilation management fails.

    Keywords: Extracorporeal membrane oxygenation (ECMO), neonate, Pneumothorax, Bronchopleural fistula (BPF), case report

    Received: 18 Jul 2024; Accepted: 03 Dec 2024.

    Copyright: © 2024 Zhang, Wang, Zhou, Yan, Chen, Wang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Taining Zhang, Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China
    Jianxiu Wang, Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China
    Bingying Zhou, Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China
    Bin Yan, Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China
    Xilong Chen, Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China
    Weikai Wang, Department of Neonatology, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.