TY - BOOK AU - Caldwel, Marry AU - Goud, Aditya AU - Harley, Daniel P AU - Heiraty, Pooya AU - Krimsky, William AU - Perry, Brandon AU - Sarkar, Saiyad AU - Selinger, Stephen TI - Percutaneous Bullectomy in Conjunction with Endobronchial Valve Placement as an Alternative to Surgical Management of Giant Bullae SN - 0025-7931 PY - 2016/// KW - *Blister/su [Surgery] KW - *Bronchoscopy/mt [Methods] KW - *Pulmonary Disease, Chronic Obstructive/co [Complications] KW - Aged KW - Blister/ci [Chemically Induced] KW - Bronchoscopy/is [Instrumentation] KW - Drainage/mt [Methods] KW - Female KW - Humans KW - Tomography, X-Ray Computed KW - MedStar Franklin Square Hospital Center KW - Internal Medicine KW - Pulmonary and Critical Care Medicine KW - Thoracic Surgery KW - Case Reports KW - Journal Article N2 - 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 UR - https://dx.doi.org/10.1159/000447245 ER -