Abstract
A 58-year-old man was admitted with dyspnea (Hugh-Jones' grade IV). A chest X-ray film showed left giant bullae. At admission respiratory function test results were VC 2020ml, %VC 58%, FEV1.0 820ml, FEV1.0% 46%. A respiratory nebulizer with steroid agent improved respiratory function just before surgery VC 2490ml, %VC 72%, FEV1.0 1030ml, FEV1.0% 55%. The giant bullae in the S1+2, S6 and S8 were safely excised. Postoperatively, the re-expansion of the residual lung was good. At 3 months after surgery, dyspnea was improved (Hugn-Jones' grade I). It was thought that perioperative management with steroid agents was useful to prevent complications from giant bullectomy with respiratory dysfunction.
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