{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:55Z","timestamp":1753882855299,"version":"3.41.2"},"reference-count":6,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JRSM Open"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p> Summary <\/jats:p><jats:p> The Zephyr (PulmonX Inc., Redwood, CA) endobronchial valve (EBV), predominantly designed for lung volume reduction in emphysema, can also be used to close a spontaneous or post-operative prolonged air leak (PAL). We describe a previously unreported complication of cutaneous migration of an EBV, inserted for management of a PAL from a postoperative bronchopleural fistula (BPF), in a 62-year-old male following a right upper lobe posterior-apical (S1,2) segmentectomy. His PAL resulted in a chronic empyema which failed to respond to surgical debridement, anterior cavernostomy and pectoral myoplasty. Bronchoscopic closure of the air leak by EBV insertion resulted in clinical improvement but there was a residual chronic wound sinus through which the patient reported protrusion of a foreign body that was causing irritation. It was the EBV. We hypothesise that the BPF healed beneath the EBV causing it to dislodge but its route to the skin remains a mystery. <\/jats:p>","DOI":"10.1177\/20542704221074148","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T12:01:24Z","timestamp":1642507284000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cAll things must pass\u201d - Cutaneous migration of an endobronchial valve"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7058-6647","authenticated-orcid":false,"given":"Michelle","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralitsa","family":"Baranowski","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Gammon","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Hargrave","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Waller","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,18]]},"reference":[{"key":"bibr1-20542704221074148","doi-asserted-by":"publisher","DOI":"10.1159\/000453588"},{"key":"bibr2-20542704221074148","doi-asserted-by":"publisher","DOI":"10.1177\/1753465816672132"},{"key":"bibr3-20542704221074148","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.2.479"},{"key":"bibr4-20542704221074148","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.1.190"},{"issue":"5","key":"bibr5-20542704221074148","first-page":"1258","volume":"40","author":"Jenkins M","journal-title":"Eur J Cardiothorac Surg"},{"key":"bibr6-20542704221074148","doi-asserted-by":"publisher","DOI":"10.1159\/000506521"}],"container-title":["JRSM Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20542704221074148","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20542704221074148","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20542704221074148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T18:59:22Z","timestamp":1740941962000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20542704221074148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/20542704221074148"],"URL":"https:\/\/doi.org\/10.1177\/20542704221074148","relation":{},"ISSN":["2054-2704","2054-2704"],"issn-type":[{"type":"print","value":"2054-2704"},{"type":"electronic","value":"2054-2704"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"20542704221074148"}}