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Eur J Cardiothorac Surg 2006;30:680-681
© 2006 Elsevier Science NL

Case reports

Right upper lobe ‘window’ in right main bronchus stenting

^a Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqwa 49100, Israel
^b Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Received 3 June 2006; received in revised form 11 July 2006; accepted 14 July 2006.

^_* Corresponding author. Address: Tel.: +972 3 9377221; fax: +972 3 9377142. (Email: peledbn{at}zahav.net.il).

Stent insertion for bronchial stenosis has become common practice in lung transplantation and advanced lung malignancy, and for external compression of the airways for other reasons. Right main bronchus stenting may require blocking the right upper lobe by the stent, placing the patient at risk of recurrent pneumonia and atelectasis. In this study, three patients after insertion of a metal stent to the right main bronchus are described. In all cases, the right upper lobe was covered by the stent, and a laser (Nd:YAG) procedure was used to open a ‘window’ in the stent toward the right upper lobe with a follow-up of 1 year. We conclude that stent insertion to the right main bronchus may be followed by a laser therapy to open a ‘window’ toward the right upper lobe.

Abbreviations: FEV1 = forced vital capacity in the 1st second • Nd:YAG = neodymium yttrium aluminum garnet laser • RMB = right main bronchus • RUL = right upper lobe

Key Words: Bronchial • Stent • Transplantation

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