Abstract:
:Lung volume reduction surgery (LVRS) is being evaluated in the treatment of emphysema. The proposed mechanisms of improvement are increased elastic recoil of the lung and improved mechanical efficiency of the muscles of respiration. We report a unique patient with emphysema who developed a giant bulla 3 years subsequent to LVRS. The patient underwent extensive evaluation, including measurements of lung mechanics. Bullectomy was performed, but it was unsuccessful. Although the mechanisms behind the development of giant bullous disease remain speculative, heterogeneous improvement in elastic recoil following LVRS may be one of the responsible mechanisms.
journal_name
Chestjournal_title
Chestauthors
Iqbal M,Rossoff L,McKeon K,Graver M,Scharf SMdoi
10.1378/chest.116.6.1809subject
Has Abstractpub_date
1999-12-01 00:00:00pages
1809-11issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(16)37029-5journal_volume
116pub_type
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