Background

A 30 year old male with a history of Pulmonary Tuberculosis in 2010 & recurrence in 2018 came with a complaint of gradually progressive dyspnea over 2 years. He was presented with dyspnea even at rest and symptoms and signs of pleurisy.

Diagnosis And Treatment

Fiber Optic Bronchoscopy revealed – Multi Level Fibrostenosis of the left main bronchus with complete obstruction of the distal LMB 2.7 cms from the primary carina and 1 cm above the second carina on the left side was noted.

Procedure – Repair of TB stenosis was done by Rigid Bronchoscopy and Balloon Bronchoplasty.

Post procedure – Luminal patency was achieved with visualization of distal segmental bronchii.

Radiological improvement was seen on X-ray 24 hrs post procedure.

Post Procedure

After

About Author –

Dr. Hari Kishan Gonuguntla, Consultant Interventional Pulmonologist, Yashoda Hospitals, Hyderabad
MD, DM (Pulmonology Medicine), Fellowship in Interventional Pulmonology (NCC, Japan)