MedStar Authors catalog › Details for: Percutaneous Bullectomy in Conjunction with Endobronchial Valve Placement as an Alternative to Surgical Management of Giant Bullae.
Normal view MARC view ISBD view

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

by Goud, Aditya; Krimsky, William; Caldwel, Marry; Perry, Brandon; Heiraty, Pooya; Sarkar, Saiyad; Harley, Daniel P; Selinger, Stephen.
Citation: Respiration. 91(6):523-6, 2016.Journal: Respiration; international review of thoracic diseases.Published: 2016ISSN: 0025-7931.Full author list: Goud A; Krimsky W; Caldwel M; Perry B; Heiraty P; Sarkar S; Harley DP; Selinger S.UI/PMID: 27319018.Subject(s): Aged | Blister/ci [Chemically Induced] | *Blister/su [Surgery] | Bronchoscopy/is [Instrumentation] | *Bronchoscopy/mt [Methods] | Drainage/mt [Methods] | Female | Humans | *Pulmonary Disease, Chronic Obstructive/co [Complications] | Tomography, X-Ray ComputedInstitution(s): MedStar Franklin Square Hospital CenterDepartment(s): Internal Medicine | Pulmonary and Critical Care Medicine | Thoracic SurgeryActivity type: Journal Article.Medline article type(s): Case Reports | Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1159/000447245 (Click here) Abbreviated citation: Respiration. 91(6):523-6, 2016.Abstract: 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.

Powered by Koha