Intrapulmonary percussive ventilation for the management of destroyed lung in Swyer-James-MacLeod syndrome.
Tomoyuki Ogata, Masaaki Kawanishi, Yasuhiro Sugawara et al.
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Case in brief
A man in his 60s with a history of childhood pneumonia was diagnosed with bronchiectasis due to Swyer-James-MacLeod syndrome, complicated by chronic Pseudomonas aeruginosa infection. His condition progressed to a destroyed lung, necessitating hospitalization for management. After starting intrapulmonary percussive ventilation, he avoided hospitalization for 11 years and maintained functional independence.
Diagnostic / clinical pearl
Intrapulmonary percussive ventilation may be an effective conservative management strategy for patients with advanced bronchiectasis associated with Swyer-James-MacLeod syndrome.
Why it matters
This case highlights the potential for long-term functional independence in patients with severe lung disease through appropriate airway clearance techniques.