Spontaneous rupture of the right hemidiaphragm after video-assisted lung volume reduction operation

2002 ◽  
Vol 74 (3) ◽  
pp. 929-931 ◽  
Author(s):  
Serban C Stoica ◽  
Stewart R Craig ◽  
Sing Yang Soon ◽  
William S Walker
2003 ◽  
Vol 76 (6) ◽  
pp. 2079-2080 ◽  
Author(s):  
James W Klena ◽  
Arthur F Saari ◽  
David O Peterson ◽  
Christianne Collins ◽  
Joel A Johnson

Medicina ◽  
2019 ◽  
Vol 55 (3) ◽  
pp. 65
Author(s):  
Eric Marchand ◽  
Jean-Paul d’Odemont ◽  
Michael V Dupont

Lung hyperinflation is a main determinant of dyspnoea in patients with chronic obstructive pulmonary disease (COPD). Surgical or bronchoscopic lung volume reduction are the most efficient therapeutic approaches for reducing hyperinflation in selected patients with emphysema. We here report the case of a 69-year old woman with COPD (GOLD stage 3-D) referred for lung volume reduction. She complained of persistent disabling dyspnoea despite appropriate therapy. Chest imaging showed marked emphysema heterogeneity as well as severe hyperinflation of the right lower lobe. She was deemed to be a good candidate for bronchoscopic treatment with one-way endobronchial valves. In the absence of interlobar collateral ventilation, 2 endobronchial valves were placed in the right lower lobe under general anaesthesia. The improvement observed 1 and 3 months after the procedure was such that the patient no longer met the pulmonary function criteria for COPD. The benefit persisted after 3 years.


Thorax ◽  
2008 ◽  
Vol 63 (6) ◽  
pp. 564-565 ◽  
Author(s):  
S Kanoh ◽  
H Kobayashi ◽  
K Motoyoshi

Bronchoscopic treatment for emphysematous lung diseases has attracted clinical attention, and several different approaches are being investigated. We present a case of emphysematous bullae that was effectively treated with a newly developed bronchoscopic intervention, autologous blood injection. A 59-year-old man was referred to our institution with exertional dyspnoea. Chest CT showed emphysema and bullae with a diameter of 12 cm in the right upper lobe. Bronchoscopic treatment was introduced as an alternative to surgery. Autologous blood and fibrinogen solution were infused into bullae via the transbronchial catheter, under fluoroscopic guidance. Post-treatment CT showed marked contraction of bullae to a diameter of 3 cm, corresponding to a volume reduction of 800 ml on body plethysmography. A significant reduction in dyspnoea was also noted. This therapeutic approach is less invasive and may represent a good option for reducing lung volume.


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