TY - JOUR T1 - Endobronchial Valve Placement as Destination Therapy for Recurrent Pneumothorax in the Setting of Advanced Malignancy JF - Respiratory Care SP - e46 LP - e48 DO - 10.4187/respcare.03540 VL - 60 IS - 3 AU - Christopher R Gilbert AU - Jennifer W Toth AU - Umar Osman AU - Michael F Reed Y1 - 2015/03/01 UR - http://rc.rcjournal.com/content/60/3/e46.abstract N2 - The development of a persistent air leak after pneumothorax can be encountered in patients with underlying structural lung disease. In those with advanced malignancy or other comorbidities, the ability to tolerate general anesthesia and thoracoscopic procedures may limit definitive management. We describe the case of a 68-y-old male with refractory acute myelogenous leukemia presenting with recurrent secondary spontaneous pneumothorax and persistent air leak related to an underlying fungal pneumonia. Endobronchial valve placement allowed for timely chest tube removal and discharge from the hospital, as well as avoidance of a thoracoscopic procedure and pleurodesis. ER -