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J Thorac Cardiovasc Surg 2006;131:499-500
© 2006 The American Association for Thoracic Surgery

Brief Communication

Video-assisted thoracic surgery lung resection after endobronchial valve placement

Juan C. Garzon, MD, Calvin S.H. Ng, MD, Tak Wai Lee, MD, Anthony P.C. Yim, MD *

Division of Cardiothoracic Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China.

Received for publication August 7, 2005; revisions received September 28, 2005; accepted for publication October 7, 2005.

* Address for reprints: Anthony P. C. Yim, MD, Professor of Surgery and Chief of Cardiothoracic Surgery, The Chinese University of Hong Kong, and Director, Minimally Invasive Centre, Union Hospital, Shatin, Hong Kong SAR, China (Email: yimap@cuhk.edu.hk).

The first 20% of the full text of this article appears below.

Endobronchial valve (EBV) placement has emerged as an alternative approach for treating patients with severe emphysema. 1 Go The improvements in lung function after EBV placement, which allows video-assisted thoracic surgery (VATS) lung resection in a previously nonsurgical candidate, have not been reported. We present a case of VATS lung resection after EBV placement in a patient with severe emphysema to illustrate clinical and surgical aspects in this new category of patients.

Clinical Summary

A 70-year-old female ex-smoker, who was known to have severe emphysema with multiple admissions for exacerbation, was treated with EBVs. The EBVs were placed in both lower lobes including the apical segments, thereby achieving total bilateral lower lobe collapse (Figure 1). During the following year, she had significant clinical improvement confirmed by serial pulmonary function tests showing an increase in forced expiratory volume in 1 second from 0.61 L (39% predicted) to 1.46 L (75% predicted), and in forced vital capacity . . . [Full Text of this Article]






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