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A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves
Lung hyperinflation is a main determinant of dyspnoea in patients with chronic obstructive pulmonary disease (COPD). Surgical or bronchoscopic lung volume reduction are the most efficient therapeutic approaches for reducing hyperinflation in selected patients with emphysema. We here report the case...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473594/ https://www.ncbi.nlm.nih.gov/pubmed/30862115 http://dx.doi.org/10.3390/medicina55030065 |
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author | Marchand, Eric d’Odemont, Jean-Paul Dupont, Michael V |
author_facet | Marchand, Eric d’Odemont, Jean-Paul Dupont, Michael V |
author_sort | Marchand, Eric |
collection | PubMed |
description | Lung hyperinflation is a main determinant of dyspnoea in patients with chronic obstructive pulmonary disease (COPD). Surgical or bronchoscopic lung volume reduction are the most efficient therapeutic approaches for reducing hyperinflation in selected patients with emphysema. We here report the case of a 69-year old woman with COPD (GOLD stage 3-D) referred for lung volume reduction. She complained of persistent disabling dyspnoea despite appropriate therapy. Chest imaging showed marked emphysema heterogeneity as well as severe hyperinflation of the right lower lobe. She was deemed to be a good candidate for bronchoscopic treatment with one-way endobronchial valves. In the absence of interlobar collateral ventilation, 2 endobronchial valves were placed in the right lower lobe under general anaesthesia. The improvement observed 1 and 3 months after the procedure was such that the patient no longer met the pulmonary function criteria for COPD. The benefit persisted after 3 years. |
format | Online Article Text |
id | pubmed-6473594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64735942019-05-02 A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves Marchand, Eric d’Odemont, Jean-Paul Dupont, Michael V Medicina (Kaunas) Case Report Lung hyperinflation is a main determinant of dyspnoea in patients with chronic obstructive pulmonary disease (COPD). Surgical or bronchoscopic lung volume reduction are the most efficient therapeutic approaches for reducing hyperinflation in selected patients with emphysema. We here report the case of a 69-year old woman with COPD (GOLD stage 3-D) referred for lung volume reduction. She complained of persistent disabling dyspnoea despite appropriate therapy. Chest imaging showed marked emphysema heterogeneity as well as severe hyperinflation of the right lower lobe. She was deemed to be a good candidate for bronchoscopic treatment with one-way endobronchial valves. In the absence of interlobar collateral ventilation, 2 endobronchial valves were placed in the right lower lobe under general anaesthesia. The improvement observed 1 and 3 months after the procedure was such that the patient no longer met the pulmonary function criteria for COPD. The benefit persisted after 3 years. MDPI 2019-03-11 /pmc/articles/PMC6473594/ /pubmed/30862115 http://dx.doi.org/10.3390/medicina55030065 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Marchand, Eric d’Odemont, Jean-Paul Dupont, Michael V A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves |
title | A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves |
title_full | A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves |
title_fullStr | A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves |
title_full_unstemmed | A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves |
title_short | A Patient with GOLD Stage 3 COPD « cured » by One-Way Endobronchial Valves |
title_sort | patient with gold stage 3 copd « cured » by one-way endobronchial valves |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473594/ https://www.ncbi.nlm.nih.gov/pubmed/30862115 http://dx.doi.org/10.3390/medicina55030065 |
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