Surgery for nearly inoperable bilateral giant bullae in a patient with severe pulmonary dysfunction

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  • Araki Osamu
    Department of Thoracic Surgery, Dokkyo Medical University Hospital
  • Karube Yoko
    Department of Thoracic Surgery, Dokkyo Medical University Hospital
  • Tamura Motohiko
    Department of Thoracic and Cardiovascular Surgery, Dokkyo Medical University Koshigaya Hospital
  • Kobayashi Satoru
    Department of Thoracic Surgery, Dokkyo Medical University Hospital
  • Chida Masayuki
    Department of Thoracic Surgery, Dokkyo Medical University Hospital
  • Miyoshi Shinichiro
    Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine

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  • 高度の低肺機能を呈し手術適応の判断に苦慮した両側巨大肺囊胞症の1例

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Abstract

A 55-year-old male with bilateral pulmonary giant bullae had been treated with home oxygen therapy for several years. Dyspnea on effort worsened and he was introduced to our hospital to investigate operability. Upon admission, the percent vital capacity was 38.7% and forced expiratory volume in 1 second was 470 mL, indicating a nearly inoperable condition due to severe pulmonary dysfunction. Nevertheless, we considered surgery to be possible because the pulmonary vascular bed was preserved. We performed a sequential bilateral bullectomy using percutaneous cardiopulmonary support, and the pulmonary functions significantly improved.

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