Surgery for Bullous Emphysema

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Abstract
A 60-year-old man was observed for 7 years with progressive bullous emphysema that eventually rendered his right lung functionless and resulted in severe dyspnea. Thoracotomy revealed typical periacinar (paraseptal) emphysema. Excision and plication of bullae resulted in prompt relief of symptoms and return of function which were sustained during the next 5 years. The progressive course and recovery were documented by serial clinical, radiographic, physiologic and regional lung function studies. The natural evolution of bullous lung disease is reviewed as are the concomitant physiologic abnormalities and indications for surgerys

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