TY - JOUR T1 - Bullectomies for bullous sarcoidosis JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 157 LP - 160 VL - 60 IS - 2 AU - Cesar M. Pena AU - Delos M. Cosgrove AU - Philip Eng AU - Thomas Kirby AU - Thomas Rice AU - Atul C. Mehta Y1 - 1993/03/01 UR - http://www.ccjm.org/content/60/2/157.abstract N2 - 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. ER -