Successful Bronchoscopic Lung Volume Reduction Using Endobronchial Valve for Severe Right Lower Lobe Emphysema.

Mohamed FAISAL¹, Mona Zaria NASARUDDIN², Jamalul Azizi ABDUL RAHAMAN²

¹Pulmonology Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, and Pulmonology Unit, Serdang Hospital, Malaysia.

ABSTRACT      

Chronic obstructive pulmonary disease is a common disease worldwide. Most patients with advanced chronic obstructive pulmonary disease will only receive maximum inhaler therapy plus other non-pharmacological treatments (vaccination, pulmonary rehabilitation, oxygen therapy).  Bronchoscopic lung volume reduction by endobronchial valve insertion is an option available in interventional pulmonology centres for eligible patients. We report a 72-year-old man with severe airflow limitation plus hyperinflation and air trapping who received endobronchial valve insertion in the right lower lobe. His residual volume reduced remarkably from 14.1L (778%) to 5.57L (292%) following 1 year with symptomatic improvement which was sustained after 2 years follow-up. In conclusion, bronchoscopic lung volume reduction by endobronchial valve insertion is a treatment option for advanced chronic obstructive pulmonary disease patients on maximal medical therapy. It may achieve the same effect on respiratory function as lung volume reduction surgery, but without the added disadvantages of morbidity and mortality associated with surgery.

Keywords : Bronchoscopic lung volume reduction, chronic obstructive pulmonary disease, endobronchial valve, lung volume reduction surgery

Correspondence author: Mohamed FAISAL, M.Med (Int. Med) UKM. Pulmonology Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel : +60391455555  Fax : +60391456679

email : arabinose@hotmail.com

Brunei Int Med J. 2017; 13 (2): 73-76