title: Functional Benefits of Bilateral Emphysema Reduction Surgery in an Adolescent.
abstract: Acquired emphysema is a rare pathology in pediatrics. We report the case of a patient born at term with a neonatal respiratory distress, which had required mechanical ventilation. She developed gradually chronic obstructive pulmonary disease with severe emphysematous lesions, respiratory failure and functional impairments. Bilateral emphysema resection, performed at 16 years old, allowed major functional benefits at rest and during exercise. We present the results of respiratory functional evaluations, walk tests and maximal exercise tests (including measure of dynamic hyperinflation) before and after surgery, which highlights that surgery is a successful option in the treatment of compressive emphysema in childhood.
authors.affiliation: Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France; Department of Pediatric Pulmonology, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France. Electronic address: vjulian@chu-clermontferrand.fr.
authors.forename: Valérie
authors.initials: V
authors.lastname: Julian
authors.affiliation: Department of Pediatric Pulmonology, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Moreau de Bellaing
authors.affiliation: Department of Thoracic Surgery, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Filaire
authors.affiliation: Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
authors.forename: Ruddy
authors.initials: R
authors.lastname: Richard
authors.affiliation: Department of Pediatric Pulmonology, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
authors.forename: André
authors.initials: A
authors.lastname: Labbé
mesh_terms: D000293:Adolescent; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008176:Lung Volume Measurements; D011013:Pneumonectomy / Q000379:methods*; D011182:Postoperative Care / Q000379:methods; D029424:Pulmonary Disease, Chronic Obstructive / Q000000981:diagnostic imaging* / Q000601:surgery*; D011788:Quality of Life; D012121:Respiration, Artificial; D012127:Respiratory Distress Syndrome, Newborn / Q000175:diagnosis / Q000628:therapy*; D012129:Respiratory Function Tests; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome