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Case Report

Bullectomies for bullous sarcoidosis

Cesar M. Pena, MD, Delos M. Cosgrove, MD, Philip Eng, MD, Thomas Kirby, MD, Thomas Rice, MD and Atul C. Mehta, MD
Cleveland Clinic Journal of Medicine March 1993, 60 (2) 157-160;
Cesar M. Pena
Department of Pulmonary Disease, The Cleveland Clinic Foundation.
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Delos M. Cosgrove
Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation.
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Philip Eng
Department of Pulmonary Disease, The Cleveland Clinic Foundation.
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Thomas Kirby
Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation.
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Thomas Rice
Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation.
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Atul C. Mehta
Department of Pulmonary Disease, The Cleveland Clinic Foundation.
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ABSTRACT

A 36-year-old woman presented with respiratory insufficiency due to cystic sarcoidosis. She had been previously treated with multiple courses of prednisone without improvement. Enlarging blebs involving both lower lobes impaired the function of the relatively spared upper lobes. Bilateral lower lobectomies were performed in one step via median sternotomy without complications, with prompt subjective and objective improvement of her respiratory status. One-stage bilateral upper-lobe bullec-tomy for bullous emphysema has been previously reported, but to our knowledge this is the first performance of one-stage bilateral lower-lobe bullectomies for cystic sarcoidosis. The immediate benefits were evident; long-term results will depend on the course of the underlying disease.

INDEX TERMS
  • Sarcoidosis
  • Respiratory Insufficiency
  • Pneumonectomy
  • Copyright © 1993 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 60 (2)
Cleveland Clinic Journal of Medicine
Vol. 60, Issue 2
1 Mar 1993
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Bullectomies for bullous sarcoidosis
Cesar M. Pena, Delos M. Cosgrove, Philip Eng, Thomas Kirby, Thomas Rice, Atul C. Mehta
Cleveland Clinic Journal of Medicine Mar 1993, 60 (2) 157-160;

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Bullectomies for bullous sarcoidosis
Cesar M. Pena, Delos M. Cosgrove, Philip Eng, Thomas Kirby, Thomas Rice, Atul C. Mehta
Cleveland Clinic Journal of Medicine Mar 1993, 60 (2) 157-160;
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Keywords

  • Sarcoidosis
  • Respiratory Insufficiency
  • Pneumonectomy

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