Greately improved respiratory function after two stage operation for bilateral giant emphysematous bullae ; a case report

Naoki Kanemitsu; Hiroyasu Yokomise; Hiromichi Katakura; Toru Bandou; Kenichi Ohkubo; Shinji Kosaka; Masami Teramachi; Yutaka Takahashi; Kazuyuki Yagi; Kenji Inui; Hiroshi Mizuno; Minoru Aoki; Hiromi Wada; Shigeki Hitomi

doi:10.2995/jacsurg.8.179

Naoki Kanemitsu, Hiroyasu Yokomise, Hiromichi Katakura, Toru Bandou, Kenichi Ohkubo, Shinji Kosaka, Masami Teramachi, Yutaka Takahashi, Kazuyuki Yagi, Kenji Inui, Hiroshi Mizuno, Minoru Aoki, Hiromi Wada, Shigeki Hitomi

Author information

Naoki Kanemitsu
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Hiroyasu Yokomise
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Hiromichi Katakura
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Toru Bandou
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Kenichi Ohkubo
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Shinji Kosaka
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Masami Teramachi
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Yutaka Takahashi
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Kazuyuki Yagi
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Kenji Inui
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Hiroshi Mizuno
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Minoru Aoki
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Hiromi Wada
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
Shigeki Hitomi
Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University

Keywords: emphysematous giant bulla, two stage operation, sick sinus syndrome

JOURNAL FREE ACCESS

1994 Volume 8 Issue 2 Pages 179-184

DOI https://doi.org/10.2995/jacsurg.8.179

Details

Abstract

A 34-year-old man admitted with dyspnea on effort as his chief complaint. A chest X-ray film showed bilateral giant bullae. A pulmonary angiogram showed adequate patency of the peripheral pulmonary vessels, so significant improvement of respiratory function was expected. He underwent two-stage bullectomy and plication successfully. Preoperative respiratory function test results were : VC 3.91l, %VC 93.8%, FEV_1.0 1.43l, FEV_1.0% 47.2%, PaO2 64. 7torr, PaCO₂ 40.6torr, pH 7.427. Four months after surgery the results were : VC 5.01l % VC 120.1%, FEV_1.0 3.70l, FEV _1.0% 72.8%, PaO₂ 81.7 torr, PaCO₂ 43.0 torr, pH 7.403. Another remarkable finding was that his preoperative Holter ECG showed sick sinus syndrome, but immediately after the two stage operation it had disappeared.

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