Skip to main content
SpringerLink
Log in

Successful surgical management of emphysematous giant bullae accompanied by severe bronchial asthma: Report of a case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

The surgical treatment of emphysematous lung bullae is usually contraindicated in patients with severe bronchial asthma. However, we recently encountered a patient who required surgery due to the development of respiratory distress despite treatment with bronchodilators and low-dose prednisolone (5 mg/day). During the first operation, bronchospasm occurred with anesthesia. After suppression of the asthmatic symptoms for 2 weeks with high-dose prednisolone (25 mg/day), the giant bullae could be resected safely. Thus, the preoperative resolution of asthma to decrease the probability of an attack is indispensable for such patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Wesley JR, Macleod WM, Mullard KS (1972) Evaluation and surgery of bullous emphysema. J Thorac Cardiovasc Surg 63:945–955

    Google Scholar 

  2. Nakahara S, Nakaoka K, Ohno K, Monden Y, Maeda M, Masaoka A, Sawamura K, Kawashima Y (1983) Functional indication for bullectomy of giant bulla. Ann Thorac Surg 35:480–487

    Google Scholar 

  3. Shnider SM, Papper EM (1961) Anesthesia for the asthmatic patients. Anesthesiology 22:886–892

    Google Scholar 

  4. Empey DW, Laitinen LA, Jacobs L, Gold WM, Nadel JA (1976) Mechanism of bronchial hyperreactivity in normal subjects after upper respiratory tract infection. Am Rev Respir Dis 113:131–139

    Google Scholar 

  5. Oh SH, Patterson R (1974) Surgery in corticosteroid-dependent asthmatics. J Allergy Clin Immunol 53:345–351

    Google Scholar 

  6. Macarthur AM, Fountain SW (1977) Intracavity suction and drainage in the treatment of emphysematous bullae. Thorax 32:668–672

    Google Scholar 

  7. Oizumi H, Hoshi E, Aoyama K, Yuki Y, Murai K, Fujishima T, Wasio M (1990) Surgery of giant bulla with tube drainage and bronchofiberoptic bronchial occlusion. Ann Thorac Surg 49:824–825

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Second Department of Surgery, Gunma University School of Medicine, 3-39-22 Showa-machi, Maebashi, 371, Gunma, Japan

    Susumu Ishikawa, Ichiro Yoshida, Akio Ohtaki, Yoshimi Otani, Kazuhiro Sakata & Yasuo Morishita

Authors
  1. Susumu Ishikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ichiro Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Akio Ohtaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yoshimi Otani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kazuhiro Sakata
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yasuo Morishita
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ishikawa, S., Yoshida, I., Ohtaki, A. et al. Successful surgical management of emphysematous giant bullae accompanied by severe bronchial asthma: Report of a case. Surg Today 25, 560–562 (1995). https://doi.org/10.1007/BF00311317

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00311317

Key Words

Search

Navigation