• Ned Tijdschr Geneeskd · Jan 2009

    Case Reports

    [Placement of one-way endobronchial valves to treat severe pulmonary emphysema in an 84-year-old].

    • Kris O M Carron.
    • Heilig Hartziekenhuis Roeselare-Menen, afd. Interne Geneeskunde, Roeselare, Menen, België. kris.carron@hotmail.com
    • Ned Tijdschr Geneeskd. 2009 Jan 1; 153: A782.

    AbstractAn 84-year-old man with end-stage emphysema was hospitalised on two occasions because of an episode of severe COPD exacerbation, each time successfully treated in a classical pharmacological manner. Further analysis of a high-resolution CT chest scan revealed very pronounced destruction of the lung parenchyma in the left lower lobe. Moreover, the degree of destruction in the left lung was of a highly heterogeneous nature and fissure analysis revealed a complete left major fissure. After carefully weighing up the costs against the benefits, two one-way valves of different sizes were implanted in the orifices of the left lower lobe using video bronchoscopy. This intervention had a very satisfactory outcome with positive changes in the lung function parameters, imaging studies and quality of life. The inevitable placement in a nursing home could consequently be postponed and, at follow-up one year later, no exacerbation or pneumonia had developed since the intervention.

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