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Article in Japanese
Abstract
Case Report
A case of chronic obstructive pulmonary disease with marked improvement of pulmonary function after resection of a giant bulla with rapid expansion
Mitsuhiro Fujiia Shin-ichiro Iwakamia Munechika Haraa Toshiji Ishiwataa Kuniaki Seyamab Kazuhisa Takahashib
aDepartment of Respiratory Medicine, Juntendo University Shizuoka Hospital
bDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine
ABSTRACT
A 47 year-old-man with chronic respiratory failure resulting from chronic obstructive pulmonary disease was transferred to our hospital because of acute exacerbation. Bullectomy was performed because the bulla of the right lung revealed rapid expansion, and respiratory condition worsened. After bullectomy was performed, percent-predicted forced vital capacity (%FVC) and percent-predicted forced expiratory volume in 1 s (%FEV1) on pulmonary function tests, as well as his oxygenation were marked improved and have been retained for 5 years. No recurrence of bullous formation has been seen on thoracic computed tomography (CT). Bullectomy may be expected to improve pulmonary function and maintain the condition for long time in a patient with poor pulmonary function, such as the present case.
KEYWORDS
Emphysematous giant bulla Bullectomy Chronic obstructive pulmonary disease
Received 18 Aug 2014 ／ Accepted 18 Dec 2014
AJRS, 4(2): 166-170, 2015
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