Case reportCardiacBronchoscopic Lung Volume Reduction in a Single-Lung Transplant Recipient With Natal Lung Hyperinflation: A Case Report
Section snippets
Case Report
A 60-year-old woman (73 kg; 173 cm) with smoking-related emphysema underwent left SLT 10 years ago. Although LVRS (atypical resection) was performed in the right lung at the same procedure, she developed NLH. She had a history of progressive dyspnea over the last year, which had worsened until it became MRC class 3, so she was scheduled for BLVR. Her medical history revealed arterial hypertension, dyslipidemia, hyperuricemia an anxiety syndrome, and deep vein thrombosis 13 years ago. Her
Discussion
NLH represents a substantial problem in SLT patients with emphysema. Sometimes the treatment is difficult.2 LVRS has proven valuable in heterogeneous emphysema; nevertheless, it poses a high risk among severely ill patients.4, 6 In contrast, BLVR is a relatively simple procedure with low morbidity and no reported mortality.10 It is also potentially reversible,8 which, in our opinion, is an important issue because atelectasis can result in a respiratory imbalance. Despite these benefits, BLVR
References (10)
- et al.
Causes of allograft dysfunction after single lung transplantation for emphysema: extrinsic restriction versus intrinsic obstruction
J Heart Lung Transplant
(1999) - et al.
Lung transplantation as the first choice in emphysema
Transplant Proc
(2009) Endobronchial valves for the treatment of emphysema
Semin Thorac Cardiovasc Surg
(2008)- et al.
Use of endobronchial valves for native lung hyperinflation associated with respiratory failure in a single-lung transplant recipient for emphysema
Chest
(2007) 2008 Spanish Registry for Lung Transplantation