Severe Bullous Emphysema

Successful Surgical Management Despite Poor Preoperative Blood Gas Levels and Marked Pulmonary Hypertension
  • John Harris
    Correspondence
    Reprint requests: Capt. Harris, Walter Reed Army Medical Center, Washington, D.C. 20012
    Affiliations
    From the Department of Medicine, Walter Reed Army Medical Center, Washington, DC, USA
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      Surgical removal of giant pulmonary bullae is usually considered inadvisable in patients with either hypoxemia or hypercapnia. A successful operation was performed on a patient with both hypoxemia and hypercapnia. Preoperative and postoperative physiologic data are presented. Those data which suggested a favorable outcome are compared with those which did not.
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