Surgery for nearly inoperable bilateral giant bullae in a patient with severe pulmonary dysfunction

A 55-year-old male with bilateral pulmonary giant bullae had been treated with home oxygen therapy for several years. Dyspnea on effort worsened and he was introduced to our hospital to investigate operability. Upon admission, the percent vital capacity was 38.7% and forced expiratory volume in 1 se...

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Bibliographic Details
Published inThe Journal of the Japanese Association for Chest Surgery Vol. 30; no. 2; pp. 223 - 228
Main Authors Araki, Osamu, Karube, Yoko, Tamura, Motohiko, Kobayashi, Satoru, Chida, Masayuki, Miyoshi, Shinichiro
Format Journal Article
LanguageJapanese
Published The Japanese Association for Chest Surgery 15.03.2016
Subjects
bullectomy
giant bullae
percutaneous cardiopulmonary support
pleural tent
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Summary:A 55-year-old male with bilateral pulmonary giant bullae had been treated with home oxygen therapy for several years. Dyspnea on effort worsened and he was introduced to our hospital to investigate operability. Upon admission, the percent vital capacity was 38.7% and forced expiratory volume in 1 second was 470 mL, indicating a nearly inoperable condition due to severe pulmonary dysfunction. Nevertheless, we considered surgery to be possible because the pulmonary vascular bed was preserved. We performed a sequential bilateral bullectomy using percutaneous cardiopulmonary support, and the pulmonary functions significantly improved.
ISSN:0919-0945
1881-4158
DOI:10.2995/jacsurg.30.223