Successful Treatment of Bulla with Endobronchial Valves

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Successful Treatment of Bulla with Endobronchial Valves

Emphysematous bullae are a complication of end-stage COPD. Patients with large bullae and poor respiratory function have limited treatment options. Surgical resection is a recognized treatment, but functional improvement after bullectomy is not satisfactory in patients with forced expiratory volume in 1 s (FEV1) < 35% predicted. When this 59-year-old male end-stage COPD patient was assessed, he...

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Successful treatment of a giant emphysematous bulla by bronchoscopic placement of endobronchial valves.

Surgical bullectomy is the treatment of choice for giant emphysematous bulla. We report a case of successful nonsurgical treatment with bronchoscopic placement of one-way endobronchial valves that are currently under investigation for the treatment of end-stage emphysema. In patients who are poor surgical candidates, this noninvasive bronchoscopic treatment may represent a valuable alternative.

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Successful Treatment of a Giant Emphysematous Bulla with an Endobronchial Valve in a Patient with Contralateral Lung Cancer

Patients with severe emphysema have a higher risk of developing lung cancer, and their surgical risk increases when emphysema is accompanied by a giant bulla. Here, we describe a patient who had an emphysematous giant bulla in the right upper lobe that was treated with an endobronchial valve placement. Subsequently, a cancerous lesion on the contralateral lung was successfully removed by lobect...

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Current status of bronchoscopic lung volume reduction with endobronchial valves.

INTRODUCTION Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. Emphysema is a component of COPD characterised by hyperinflation resulting in reduced gas exchange and interference with breathing mechanics. Endoscopic lung volume reduction using one-way valves to induce atelectasis of the hyperinflated lobe has been developed and studied in clinic...

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Treatment of persistent air leak with endobronchial valves: a case report.

142 was treated with bullectomy five years ago. He had been admitted to the hospital for three times with a similar presentation; a spontaneous, right basal pneumothorax and was treated with tube thoracostomy. He was conscious, with vital signs of arterial blood pressure 135/80 mmHg, the heart rate 92 beats per minute, respiratory rate 28 per minute and an oxygen saturation of 89% at room air. ...

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ژورنال

عنوان ژورنال: Case Reports in Pulmonology

سال: 2015

ISSN: 2090-6846,2090-6854

DOI: 10.1155/2015/947403