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Thorac Cardiovasc Surg 2012; 60(02): 161-163
DOI: 10.1055/s-0031-1293600
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A Modified Brompton Technique for the Treatment of Giant Bulla in Patients with Diffuse Emphysema

Haifeng Wang
1   Department of Thoracic Surgery, Second Military Medical University, Changzheng Hospital, Shanghai, China
2   Department of Thoracic Surgery, Tongji University School of Medicine, Shanghai Pulmonary Hospital, Shanghai, China
,
Zhifei Xu
1   Department of Thoracic Surgery, Second Military Medical University, Changzheng Hospital, Shanghai, China
,
Wen Gao
2   Department of Thoracic Surgery, Tongji University School of Medicine, Shanghai Pulmonary Hospital, Shanghai, China
› Author Affiliations
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Publication History

17 April 2011

30 May 2011

Publication Date:
29 December 2011 (online)

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Abstract

Four patients with diffuse emphysema and a giant bulla were treated by a modified Brompton technique using a mushroom catheter and low suction. There was no mortality although one patient developed a troublesome pulmonary infection. All the patients had significant symptomatic improvement with a mean dyspnoea index changing from 3.5 before operation to 2.25 afterwards. We concluded that the modified Brompton technique is a safe and simple alternative in treating a giant bulla associated with diffuse emphysema.

Keywords

giant bulla - diffuse emphysema - Brompton technique