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Ann Thorac Surg 2006;82:2268-2270
© 2006 The Society of Thoracic Surgeons

Case Reports

Treatment of Bronchomalacia in Cystic Fibrosis by Silicone Stent

Georg N. Herlitz, MDa, David I. Sternberg, MDa, Regina Palazzo, MDb, Selim Arcasoy, MDc, Joshua R. Sonett, MDa,*

a Department of Surgery, Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York
b Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut
c Department of Medicine, Division of Pulmonary, Allergy & Critical Care, Columbia University College of Physicians and Surgeons, New York, New York

Accepted for publication May 2, 2006.

* Address correspondence to Dr Sonett, Department of Surgery, Division of Cardiothoracic Surgery, New York Presbyterian Hospital/Columbia, PH Room 104, 14th Floor, 622 West 168th St, New York, NY 10032. (Email: js2106{at}columbia.edu).

We report the case of a 15-year-old girl with cystic fibrosis and rapidly declining pulmonary function tests who was found to have collapse of the left main bronchus from bronchomalacia. She underwent successful deployment of an expandable silicone stent in the collapsed bronchus, after which her pulmonary function test results and her clinical picture markedly improved, obviating the need for immediate transplantation. A literature review yielded no prior reports of bronchomalacia in a cystic fibrosis patient being treated with a silicone stent. This case shows that a simple, effective treatment is possible for one cause of obstructive pulmonary function in cystic fibrosis.






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