Successful Treatment of Bulla with Endobronchial Valves
Joint Authors
Özgül, M. Akif
Onaran, Hilal
Cam, Ertan
Kamiloglu, Emine
Çörtük, Mustafa
Çetinkaya, Erdoğan
Gül, Şule
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-08-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Emphysematous bullae are a complication of end-stage COPD.
Patients with large bullae and poor respiratory function have limited treatment options.
Surgical resection is a recognized treatment, but functional improvement after bullectomy is not satisfactory in patients with forced expiratory volume in 1 s (FEV1) < 35% predicted.
When this 59-year-old male end-stage COPD patient was assessed, he was cachectic and lung function tests showed a FEV1 of 0.56 L (19% predicted) and a RV of 7 L (314% predicted), while 6MWT was 315 m and MRC dyspnea score was 4.
Chest X-ray revealed a massive bulla of 10 cm in diameter in the right middle lobe.
A fibrobronchoscopy was performed under local anesthesia and 2 Zephyr 4.0 valves were placed in the right middle lobe.
Chest X-ray and CT scan performed 36 days later showed the complete resolution of the bulla.
Seven months later, the patient demonstrated an improvement in FEV1 (+30%) and a decrease in RV from 314 to 262% predicted.
This case report shows that the Zephyr valves may be successfully used to treat a large bulla in the right middle lobe in a patient with diffuse emphysema and severely impaired lung function.
American Psychological Association (APA)
Çetinkaya, Erdoğan& Özgül, M. Akif& Gül, Şule& Onaran, Hilal& Cam, Ertan& Kamiloglu, Emine…[et al.]. 2015. Successful Treatment of Bulla with Endobronchial Valves. Case Reports in Pulmonology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059893
Modern Language Association (MLA)
Çetinkaya, Erdoğan…[et al.]. Successful Treatment of Bulla with Endobronchial Valves. Case Reports in Pulmonology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059893
American Medical Association (AMA)
Çetinkaya, Erdoğan& Özgül, M. Akif& Gül, Şule& Onaran, Hilal& Cam, Ertan& Kamiloglu, Emine…[et al.]. Successful Treatment of Bulla with Endobronchial Valves. Case Reports in Pulmonology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059893
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059893