title: Severe bullous emphysema. Successful surgical management despite poor preoperative blood gas levels and marked pulmonary hypertension.
abstract: 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.
mesh_terms: D001784:Blood Gas Analysis; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D006935:Hypercapnia / Q000150:complications*; D006976:Hypertension, Pulmonary / Q000150:complications*; D000860:Hypoxia / Q000150:complications*; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011656:Pulmonary Emphysema / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D011877:Radionuclide Imaging; D012129:Respiratory Function Tests