RT Journal Article
SR Electronic
T1 Bullectomies for bullous sarcoidosis
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 157
OP 160
VO 60
IS 2
A1 Cesar M. Pena
A1 Delos M. Cosgrove
A1 Philip Eng
A1 Thomas Kirby
A1 Thomas Rice
A1 Atul C. Mehta
YR 1993
UL http://www.ccjm.org/content/60/2/157.abstract
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.