AI Article Synopsis
- The article discusses the first case of treating a giant bulla in a patient using percutaneous bullectomy and endobronchial valve placement, highlighting its innovative approach.
- The patient, a 74-year-old woman with chronic obstructive pulmonary disease, experienced confusion after a fall and was found to have an intracranial hemorrhage and a giant bulla in her left chest.
- Due to her condition and the lack of surgical options, the treatment focused on a new method to manage her significant hypercapnia and the extensive lung involvement.
Article 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.
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| http://dx.doi.org/10.1159/000447245 | DOI Listing |
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