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

Aditya Goud, William Krimsky, Marry Caldwel, Brandon Perry, Pooya Heiraty, Saiyad Sarkar, Daniel P. Harley, Steven Selinger

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)523-526
Number of pages4
JournalRespiration
Volume91
Issue number6
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

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Keywords

  • Endobronchial valves
  • Giant bulla
  • Percutaneous bullectomy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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