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Despite thoracic drainage and adequate pneumothorax management, the patient could not be weaned from the ventilator. Fiberoptic bronchoscopy revealed severe central excessive dynamic airway collapse of the lower part of the trachea and proximal bronchi. The severity of airway collapse was maximal at the intermediate bronchus level, with a near-complete obstruction during expiration. Inspiratory and expiratory computed tomography studies confirmed the fiberoptic findings and suggested a possible expiratory posterior compression of the intermediate bronchus by parenchymal lung cysts. Stenting was considered, but the patient died from ventilator-associated pneumonia before the procedure could be performed. This case is the first description of severe central excessive dynamic airway collapse in a patient with primary Sj\u00f6gren's syndrome complicated by diffuse airway and cystic lung disease.<\/jats:p>","DOI":"10.4187\/respcare.02929","type":"journal-article","created":{"date-parts":[[2013,12,31]],"date-time":"2013-12-31T22:46:50Z","timestamp":1388530010000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Severe Excessive Dynamic Airway Collapse in a Patient With Primary Sj\u00f6gren's Syndrome"],"prefix":"10.1177","volume":"59","author":[{"given":"Sophie","family":"Ismael","sequence":"first","affiliation":[{"name":"Service de R\u00e9animation M\u00e9dicale, H\u00f4pital Europ\u00e9en Georges Pompidou, Assistance Publique-Hopitaux de Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"Wermert","sequence":"additional","affiliation":[{"name":"Service de Pneumologie, H\u00f4pital Europ\u00e9en Georges Pompidou, Assistance Publique-Hopitaux de Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim-Diep","family":"Dang-Tran","sequence":"additional","affiliation":[{"name":"Service de Radiologie, H\u00f4pital Europ\u00e9en Georges Pompidou, Assistance Publique-Hopitaux de Paris, 20 rue Leblanc"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Venot","sequence":"additional","affiliation":[{"name":"Service de R\u00e9animation M\u00e9dicale, H\u00f4pital Europ\u00e9en Georges Pompidou, Assistance Publique-Hopitaux de Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Yves","family":"Fagon","sequence":"additional","affiliation":[{"name":"Service de R\u00e9animation M\u00e9dicale, H\u00f4pital Europ\u00e9en Georges Pompidou, Assistance Publique-Hopitaux de Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Luc","family":"Diehl","sequence":"additional","affiliation":[{"name":"Service de R\u00e9animation M\u00e9dicale, H\u00f4pital Europ\u00e9en Georges Pompidou, Assistance Publique-Hopitaux de Paris"},{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U765, Facult\u00e9 de Pharmacie and Facult\u00e9 de M\u00e9decine, Universit\u00e9 Paris Descartes, Sorbonne Paris Cit\u00e9, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,12,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/37.10.1069"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)62408-7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/03009740701678712"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes311"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2004.01.006"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000233992"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.090507"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.94.2.438"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.168.1.8976929"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005382-200110000-00010"},{"issue":"10","key":"e_1_3_2_12_2","first-page":"2235","article-title":"Cystic lung disease in Sj\u00f6gren's syndrome","volume":"29","author":"Hubscher O","year":"2002","unstructured":"Hubscher O, , Re R, , Iotti R. 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