Cardiothoracic Surgery |

Surgical Treatment of Giant Lung Bullae FREE TO VIEW

Andre Miotto, MD; Altair da Silva Costa; Luiz Eduardo Villaça Leão; Pedro Augusto Antunes Honda; Caio Augusto Sterse Mata; Rodrigo Caetano de Souza; Jose Ernesto Succi
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Escola Paulista de Medicina - Universidade Federal de Sao Paulo, Sao Paulo, Brazil

Chest. 2014;146(4_MeetingAbstracts):94A. doi:10.1378/chest.1994719
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SESSION TITLE: Cardiothoracic Surgery Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: The lung bullae represents a rare condition, and even more uncommon in its giant form. It is established that many treatments are possible, and all of them have similar results in this specific disease. We present a series of five patients who underwent a minimally invasive drainage technique.

METHODS: The five patients were between 35-and 59 years old, four men and one woman. They all had clinically relevant dyspnea and unilateral lung giant bullae diagnosed by CT scan. They went through minimally invasive bullae drainage, by insertion of a Foley catheter inside the bulla and a chest tube in pleural space and connected both in water seals. The average time of these procedures was 1 hour. The regular chest tube was removed before the patients left the hospital and a Heimlich valve was adapted on the Foley catheter for the patient to go home. This catheter was removed after 2 or 3 weeks, on ambulatory condition.

RESULTS: All patients had immediate clinical performance improvement with significant reduction in dyspnea. The average time in the hospital after the procedure was 5 days.

CONCLUSIONS: In conclusion, this minimally invasive procedure can be done by local anesthesia, with clinical benefits shown just after the surgery. It is a low risk procedure, safe and feasible.

CLINICAL IMPLICATIONS: ​We used this minimally invasive technique in these few patients, with pleasant results. It is a low morbidity procedure possibly made with local anesthesia. We consider this technique a valid effort to make the lives of these high risk patients more comfortable, without a high risk surgery.

DISCLOSURE: The following authors have nothing to disclose: Andre Miotto, Altair da Silva Costa, Luiz Eduardo Villaça Leão, Pedro Augusto Antunes Honda, Caio Augusto Sterse Mata, Rodrigo Caetano de Souza, Jose Ernesto Succi

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