Case report demonstrates that lung volume reduction surgery enhances ventilatory function in a patient with emphysema and chronic lung disease.
Chronic lung disease, characterised by impaired development and/or fibrotic changes in the lungs of preterm neonates, results in lifelong consequences that affect respiratory well-being. An 18-year-old male with chronic lung disease presented with shortness of breath upon exertion. Computed tomography revealed bilateral emphysema and a large bulla in the left lower lobe. Additionally, severe obstructive ventilatory impairment was observed and respiratory rehabilitation was ineffective in improving lung function. We performed lung volume reduction surgery on the left lower lobe, resulting in improved ventilatory function and exercise capability. This case shows that emphysematous changes in patients with chronic lung disease can be successfully treated with surgery.
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Horinouchi et al. (2025) studied this question.
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