Percutaneous Bullectomy in Conjunction with Endobronchial Valve Placement as an Alternative to Surgical Management of Giant Bullae. - 2016

We present the first reported case of the treatment and management of a giant bulla using percutaneous bullectomy and endobronchial valve placement. A 74-year-old woman with chronic obstructive pulmonary disease and a known large bulla in the left chest presented to the emergency department with acute-onset confusion after a traumatic fall. She was subsequently diagnosed with an intracranial hemorrhage in the distribution of the right basal ganglia. Chest imaging revealed a giant apical bulla occupying 80% of the left hemithorax. In addition, there was midline shift away from the affected side associated with volume loss in the right hemithorax and no radiographic evidence of aeration in the remainder of the left lung. Arterial blood gas analysis revealed significant hypercapnia. Surgical bullectomy was not an option, and thus, a novel approach was utilized to treat this patient. Copyright (c) 2016 S. Karger AG, Basel.


English

0025-7931


*Blister/su [Surgery]
*Bronchoscopy/mt [Methods]
*Pulmonary Disease, Chronic Obstructive/co [Complications]
Aged
Blister/ci [Chemically Induced]
Bronchoscopy/is [Instrumentation]
Drainage/mt [Methods]
Female
Humans
Tomography, X-Ray Computed


MedStar Franklin Square Hospital Center


Internal Medicine
Pulmonary and Critical Care Medicine
Thoracic Surgery


Case Reports
Journal Article