help button home button
AJRCCM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Travaline, J. M.
Right arrow Articles by Criner, G. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Travaline, J. M.
Right arrow Articles by Criner, G. J.

Am. J. Respir. Crit. Care Med., Vol 152, No. 5, 11 1995, 1697-1701.

Effect of bullectomy on diaphragm strength

JM Travaline, VP Addonizio and GJ Criner
Department of Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA.

Surgical removal of bullous lesions in selected patients with chronic obstructive pulmonary disease may significantly improve lung function, gas exchange, and functional status and reduce dyspnea. Proposed mechanisms by which bullectomy may produce these beneficial effects include (1) improving ventilation and perfusion matching by allowing compressed viable lung to re-expand and participate in gas exchange; (2) restoring outward elastic tension on small airways, thereby reducing airways obstruction; and (3) reducing end-expiratory lung volume, thereby diminishing the adverse effects of chronic hyperinflation on chest wall elastic recoil and inspiratory muscle force generation. In this report, we demonstrate the effect of bullectomy on transdiaphragmatic pressure generation, gas exchange, and exercise capacity in a patient with severe bullous emphysema who underwent unilateral bullectomy.


This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
N. Marchetti, K. T. Criner, M. F. Keresztury, S. Furukawa, and G. J. Criner
The acute and chronic effects of bullectomy on cardiovascular function at rest and during exercise
J. Thorac. Cardiovasc. Surg., January 1, 2008; 135(1): 205 - 206.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
T. De Giacomo, E. A. Rendina, F. Venuta, M. Moretti, E. Mercadante, I. Mohsen, M.-J. Filice, and G. F. Coloni
Bullectomy is comparable to lung volume reduction in patients with end-stage emphysema
Eur. J. Cardiothorac. Surg., September 1, 2002; 22(3): 357 - 362.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
K. Suga, T. Tsukuda, H. Awaya, N. Matsunaga, K. Sugi, and K. Esato
Interactions of Regional Respiratory Mechanics and Pulmonary Ventilatory Impairment in Pulmonary Emphysema : Assessment With Dynamic MRI and Xenon-133 Single-Photon Emission CT
Chest, June 1, 2000; 117(6): 1646 - 1655.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
T. De Giacomo, F. Venuta, E. A. Rendina, G. Della Rocca, A. M. Ciccone, C. Ricci, and G. Furio Coloni
Video-assisted thoracoscopic treatment of giant bullae associated with emphysema
Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 753 - 757.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
N M Siafakas, I Mitrouska, D Bouros, and D Georgopoulos
Surgery and the respiratory muscles
Thorax, May 1, 1999; 54(5): 458 - 465.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Proc. Am. Thorac. Soc. Am. J. Respir. Cell Mol. Biol.
Copyright © 1995 American Thoracic Society