• Chest · Aug 2022

    Case Reports

    Bilateral Bronchoscopic Lung Volume Reduction After Surgical Fissure Completion.

    • Majid Shafiq, Emily Polhemus, Ryan Perkins, Victoria Forth, and M Blair Marshall.
    • Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address: mshafiq@bwh.harvard.edu.
    • Chest. 2022 Aug 1; 162 (2): e73e75e73-e75.

    AbstractAlthough bilateral lung volume reduction surgery has been shown to be safe and effective in carefully selected patients with upper lobe-predominant emphysema and hyperinflation, bronchoscopic lung volume reduction via placement of endobronchial valves is conventionally performed only unilaterally. Furthermore, it is not offered to patients with interlobar collateral ventilation because of the lack of clinical efficacy. We describe two novel management approaches including (1) bilateral bronchoscopic lung volume reduction, and (2) a combined thoracic surgical and interventional pulmonary procedure involving surgical fissure completion followed by endobronchial valve placement, which culminated in safe and effective lung volume reduction of both lungs along with an excellent patient outcome.Copyright © 2022 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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