PT - JOURNAL ARTICLE AU - Cesar M. Pena AU - Delos M. Cosgrove AU - Philip Eng AU - Thomas Kirby AU - Thomas Rice AU - Atul C. Mehta TI - Bullectomies for bullous sarcoidosis DP - 1993 Mar 01 TA - Cleveland Clinic Journal of Medicine PG - 157--160 VI - 60 IP - 2 4099 - http://www.ccjm.org/content/60/2/157.short 4100 - http://www.ccjm.org/content/60/2/157.full SO - Cleve Clin J Med1993 Mar 01; 60 AB - 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.